| NPI | 1588891790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI NADEAU C.F.O. 801-268-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: UT 15302) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |