| 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 |