| NPI | 1558840611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA PATIN Founder 801-619-3918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 10927345-0160) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |