| NPI | 1063595015 |
|---|---|
| Doing Business As | NORTHEASTERN COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | KYLE SNOW CFO 435-725-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-08-17 |