| NPI | 1730053257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RAWLS Pmhnp Bc 801-228-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |