| NPI | 1255013942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN GARCIA Owner/Director 801-759-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |