| NPI | 1780129445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY PATTON Administative Director 801-856-7836 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 37087) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-25 |