| NPI | 1518668979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE O'DRISCOLL Owner 435-790-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-07-03 |