| NPI | 1386413383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME LINDELL EASON Clinical Mental Health Counselor 435-429-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-01-01 |