| NPI | 1609049402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R MURDOCK Member/Manager 801-262-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 6628101-0160) |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2008-04-12 |