| NPI | 1215774666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFFRON ALLRED Licensed Clinical Social Worker 801-916-6023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |