| NPI | 1417321803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SAUL Executive 801-652-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2023-09-18 |