| NPI | 1023414687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEROY TAYLOR President 801-830-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 261856-3501) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |