| NPI | 1649482803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JANE BATES President 435-496-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 3619983501) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |