| NPI | 1770809006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY O'BANION Administrative Director 801-229-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 7451638-3502) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |