NPI | 1003647348 |
---|---|
Entity Type | Organization |
Authorized Contact | KASSONDRA M MCADAMS Owner/Lcsw 801-999-0297 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-08-09 |
Last Update Date | 2024-08-09 |