| NPI | 1851727218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA OR MACHELE LITCHFIELD OR NIETO Owner/ Office Manager 801-901-0435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 11073) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: UT 11072) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2015-04-07 |