| NPI | 1447564547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN PARKER Therapist 801-671-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 68850903501) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2012-03-15 |