| NPI | 1902232085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A JUDD Psychotherapist 801-255-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 86001116009) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |