| NPI | 1902288376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISA MCBRIDE CEO 801-652-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: UT 14684) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: UT 13725) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: UT 18622) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2016-03-22 |