| NPI | 1619361623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ALLEN Director/Therapist 801-499-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 7785282-6004) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |