| NPI | 1497172746 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANIEL ELDREDGE Owner/Lcsw 801-904-2284 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2014-03-25 | 
| Last Update Date | 2014-03-25 |