| NPI | 1902691389 | 
|---|---|
| Other Name | N/A | 
| Entity Type | Organization | 
| Authorized Contact | PATRICK PRICE ADAMS Therapist 801-979-6411 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health | 
| Enumeration Date | 2025-04-14 | 
| Last Update Date | 2025-04-14 |