| NPI | 1801384797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE SEARS Owner 801-473-8072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 284138-6004) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2021-10-04 |