| NPI | 1891266227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BRONSON Clinical Director/Owner 801-636-7074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |