NPI | 1689450207 |
---|---|
Entity Type | Organization |
Authorized Contact | DALLEN ALLRED CEO 801-319-6471 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-09-08 |
Last Update Date | 2023-09-08 |