| NPI | 1962716696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. MARCHEL Psychologist 801-274-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: UT 2714922501) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |