| NPI | 1336705292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI L DYCHES Owner/CFO 801-803-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2025-04-28 |