| NPI | 1770879470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAGE SPEISER President 801-531-7389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 138965-3501) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2017-10-26 |