| NPI | 1669501219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDA MORGAN Clinical Director 801-576-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 3286333501) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2022-04-22 |