| NPI | 1902456148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MACKAY Executive Director 801-930-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-11-27 |