| NPI | 1609316116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL S CHRISTENSEN President 435-574-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 00040245) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |