| NPI | 1942081864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON HARPER Executive Director 801-244-8497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-11-08 |