| NPI | 1487715330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HUNTINGTON Executive Director 435-613-2179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 11967) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-08-19 |