| NPI | 1801344726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENCARNI GALLARDO Executive Director 801-326-4380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 27689) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |