| NPI | 1457482242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN SMALLEY Director 801-542-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 11965) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11965) |
| 101YP2500X Counselor, Professional (Licence: UT 11965) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 11965) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |