| NPI | 1457774754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HYDO Director Of Operations 801-308-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 8516780-0160) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |