NPI | 1053910331 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH DAVID ROACH Executive Director 801-792-7028 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |