| NPI | 1447140389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY BINGHAM CEO 435-512-0978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |