NPI | 1336616721 |
---|---|
Doing Business As | LISA WHITING CMHC |
Entity Type | Organization |
Authorized Contact | LISA DIANE WHITING Owner/Clinician 801-597-0303 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-10-24 |
Last Update Date | 2018-10-24 |