| NPI | 1053712034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE BACHMAN Owner 801-725-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8332548-6004) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2015-07-27 |