| NPI | 1194198010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CLAIRE FULMER Co Founder/Co Director 435-640-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2021-07-08 |