| NPI | 1750924304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MOSIER Co Owner 801-380-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2023-12-21 |