| NPI | 1699955393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN MATTHEW BASSETT Owner/Cheif Therapist 801-768-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 6774648-0162) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2020-03-13 |