| NPI | 1629786116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMESON HEDIN Partner 801-660-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |