NPI | 1699018622 |
---|---|
Entity Type | Organization |
Authorized Contact | PERRIANN PARKS BEYERS Owner 801-558-7054 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 74078) |
Enumeration Date | 2013-03-28 |
Last Update Date | 2020-04-24 |