| NPI | 1992167118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY BUTTERS Ap RN 801-824-2185 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 2001474405) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2025-05-14 |