| NPI | 1730986696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CARBAJAL Owner/Clinical Director 801-989-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |