NPI | 1104504505 |
---|---|
Former Legal Business Name | SOCIAL ME |
Entity Type | Organization |
Authorized Contact | LEAH E JARAMILLO CEO/President 801-414-0596 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251E00000X Home Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR1300X Clinic/Center, Rural Health | |
347C00000X Private Vehicle | |
Enumeration Date | 2023-07-06 |
Last Update Date | 2023-07-06 |