| NPI | 1215505607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TOBIAS CEO 801-209-8936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-06-14 |