| NPI | 1760195671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MASON Owner 801-949-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |