| NPI | 1285128942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY CHRISTINE PACE Credentialing 801-657-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 155044466) |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2018-08-24 |