| NPI | 1144832841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CARPENTER Mental Health Therapist 801-856-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |