| NPI | 1609751536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAVEN HERD Owner 801-557-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |