| NPI | 1487312468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MARGARET LACHMAR Owner 435-512-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |