| NPI | 1033077045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALOF LARSON Owner/Clinical Director 435-851-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-01-10 |
| Last Update Date | 2026-01-10 |