| NPI | 1356034391 |
|---|---|
| Doing Business As | THE PROTEA CLINC LLC |
| Entity Type | Organization |
| Authorized Contact | TASIA ROTH Owner/Clinical Director 435-669-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |