| NPI | 1154729317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER DOUGLAS CAWLEY Owner 801-807-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 341417-6004) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |