| NPI | 1710614086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MORRIS Owner, Operator 801-513-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |