| NPI | 1770087363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SNYDER Owner And Provider 801-633-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: UT 2890133501) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-21 |