| NPI | 1073640322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS D LINDNER Member Manager 801-779-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |