| NPI | 1508263351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ELDREDGE Lcsw / Owner 801-904-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |