| NPI | 1477303477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA L BORGES DE MARTINEZ Mental Health Therapist 801-604-7925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |