| NPI | 1457893752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JOSEPH GORTON Licensed Mental Health Counselor 801-661-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 6815649-6004) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |