NPI | 1316956667 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD YOUNG MOODY Psychologist 435-652-1202 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10926) |
Additional Taxonomies | 101Y00000X Counselor (Licence: UT 10926) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 10926) | |
Enumeration Date | 2006-08-05 |
Last Update Date | 2008-11-11 |