| NPI | 1407248222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MAIN Owner 435-249-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 327705-6009) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |