NPI | 1205484755 |
---|---|
Doing Business As | LIVE FOR LIFE BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | TROY SHAW Executive Director 801-666-6834 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-08-28 |
Last Update Date | 2019-12-23 |