| NPI | 1437560711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN C COATES CEO/Mental Health Therapist 801-610-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 66152873501) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |