| NPI | 1154686343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY DENISE GRAVETT President 801-669-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 63213036004) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-08-24 |