| NPI | 1891209490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI HOOPER Financial Director 801-473-6606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: UT 52530) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |