| NPI | 1881588531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX DEISS Clinical Psychologist 801-641-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2026-05-22 |