| NPI | 1255176269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENITY L HALE Clinical Mental Health Counselor 801-823-2063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |