| NPI | 1568999506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY EDWARDS Executive Director 435-429-2683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-06-11 |