| NPI | 1427778422 |
|---|---|
| Doing Business As | TYLER GORDON |
| Former Legal Business Name | TYLER GORDON |
| Entity Type | Organization |
| Authorized Contact | TYLER GORDON Owner 801-822-2407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-12-09 |