| NPI | 1720108277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH M WHEELER Ssw 801-625-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 251s00000x-Community) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |