| NPI | 1578951588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EDWARD MCCOWIN Psychologist 801-350-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: UT 8116469-2501) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: UT 8116469-2501) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |