| NPI | 1467022533 |
|---|---|
| Doing Business As | NEUTRAL GROUND COLLECTIVE |
| Entity Type | Organization |
| Authorized Contact | MARK BROUSSARD Clinic Manager 435-491-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-08-11 |