| NPI | 1225487093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GRACE BABSON Lsw 801-557-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 1317983501) |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2016-06-12 |