| NPI | 1588141964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY WESTMORELAND Owner 801-205-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 10518950-0160) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2022-07-07 |