| NPI | 1679062301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL TICE Human Resource Director 801-666-6834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |