| NPI | 1982998753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY O. SIEBER Owner/Manager 801-792-1466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 376648-2501) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |