| NPI | 1760839484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA RUTH DEYOUNG President 801-755-0928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 1025453501) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |