| 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 |