| NPI | 1144594003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA BERNAL Executive Director 801-472-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 19034) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: UT 19034) |
| 101YM0800X Counselor, Mental Health (Licence: UT 19034) | |
| 101YP1600X Counselor, Pastoral (Licence: UT 19034) | |
| 101YP2500X Counselor, Professional (Licence: UT 19034) | |
| 101YS0200X Counselor, School (Licence: UT 19034) | |
| 102L00000X Psychoanalyst (Licence: UT 19034) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: UT 19034) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: UT 19034) | |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: UT 19034) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: UT 19034) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 19034) | |
| 106H00000X Marriage & Family Therapist (Licence: UT 19034) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 19034) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: UT 19034) | |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |