| NPI | 1891142071 |
|---|---|
| Doing Business As | SOUTHWEST/WCHC MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | EVAN CHRISTENSEN CEO 435-425-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: UT 362182-3501) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: UT 362182-3501) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-11-29 |