| NPI | 1073155529 |
|---|---|
| Doing Business As | LIVE FOR LIFE ASPEN |
| Entity Type | Organization |
| Authorized Contact | TROY SHAW Executive Director 801-666-6834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-12-23 |