| NPI | 1396634127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN HODGKIN Provider & Owner 435-359-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |