| NPI | 1730835455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JAMES MEEKS Owner 435-621-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |