| NPI | 1194558643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE SISSON Owner And Mental Health Therapist 801-558-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |