| NPI | 1225677693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE HURST Owner 801-668-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |