NPI | 1023534013 |
---|---|
Doing Business As | I AM RECOVERY & COUNSELING |
Doing Business As | I AM RECOVERY |
Entity Type | Organization |
Authorized Contact | JARED MORONI CASEY CEO 801-407-9998 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care (Licence: UT 6019771-3902) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 6019771-3902) |
Enumeration Date | 2017-08-21 |
Last Update Date | 2021-06-17 |