| NPI | 1831225135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN WORSLEY CENDESE Owner 801-274-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 1384503501) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |