| NPI | 1467601492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORANN MITCHELL Director, Pccc 801-265-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 380804-3501) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |