NPI | 1992167118 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY BUTTERS Ap RN 801-824-2185 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 2001474405) |
Enumeration Date | 2016-03-26 |
Last Update Date | 2016-07-25 |