| NPI | 1497011605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX C GONZALEZ Owner 801-783-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 5890613-6004) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |