| NPI | 1588428684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C. MAIRE Doctor Of Psych. Nursing 801-433-7418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |