| NPI | 1255860250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SCHMIDT Director Of Administration 801-669-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |