| NPI | 1003920513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN DEMERS Owner/Ap RN 801-597-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 2838734405) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-06-24 |