| NPI | 1548141385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH VINEYARD CEO 801-915-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |