| NPI | 1679081954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAMPAS JAMES ROWDEN Owner Founder 801-913-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 10271795-0160) |
| Enumeration Date | 2018-01-20 |
| Last Update Date | 2022-06-15 |