| NPI | 1871188557 |
|---|---|
| Other Name | ADULT LANGUAGE |
| Entity Type | Organization |
| Authorized Contact | TYLER ROLLAND PETERSEN Owner 801-919-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |