| NPI | 1033558697 | 
|---|---|
| Doing Business As | 4 HEALING CENTER | 
| Entity Type | Organization | 
| Authorized Contact | JANELLE NIMER Administrative Director 801-266-4643 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-17 | 
| Last Update Date | 2020-09-10 |