| NPI | 1013478346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE EVANS-MCALISTER Mental Health Therapist 435-850-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-04-22 |