| NPI | 1790043867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY ANN STEANS Managing Partner 801-467-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT C 7-467533-0) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |