| NPI | 1811356058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SUI-YAN TAM Part Owner/ Therapist 801-500-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 57638543501) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-10-07 |