| NPI | 1477375657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE MICHELLE BULLINGER Clinical Social Worker / Owner 801-425-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-10-29 |