| NPI | 1942290572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PAUL BUTTERS Owner 801-313-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2019-10-02 |