| NPI | 1083039184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE CHRISTIANSEN Certified Mental Health Counselor 801-272-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 360959-6004) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |