| NPI | 1063995538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA D MARTINEZ Development Director/Therapist 801-935-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |