| NPI | 1609256460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC CHRISTENSEN Chief Executive Officer 801-360-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |