| NPI | 1669664561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA L SINGLETON Psychologist 801-628-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 294681-2501) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-15 |