| NPI | 1124313481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE H GREENE Owner/Therapist 801-350-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2018-09-11 |