| NPI | 1932432846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MADSEN Executive Director 801-867-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 15426) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |