| NPI | 1467941542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA SCOTT Therapist 801-368-7891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TX 201908) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |