| NPI | 1225832702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY WELLS Clinical Mental Health Counselor 801-636-7796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |