| NPI | 1154916823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RICKS President 801-695-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |