| NPI | 1184127144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KALOUDIS President 801-201-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 6521299-6004) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |