| NPI | 1275566069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN HANSEN Administrative Director 801-582-5534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10684) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-09-08 |