| NPI | 1154162030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FRAZIER Owner/Therapist 801-821-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |