| NPI | 1467996710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SEAY Owner 801-657-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 354913-1201) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |