| NPI | 1265104673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAL ALLEN NEFF Owner/Therapist 435-200-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-03-07 |