| NPI | 1528534401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA COX Owner 801-834-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2019-08-29 |