NPI | 1154381192 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A WEISBENDER Owner/Therapist 801-983-5540 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
171M00000X Case Manager/Care Coordinator | |
175T00000X Peer Specialist | |
Enumeration Date | 2006-03-24 |
Last Update Date | 2023-08-04 |