| NPI | 1205522331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CAMILLE HOWLETT Buisness Owner 801-414-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |