NPI | 1538638705 |
---|---|
Entity Type | Organization |
Authorized Contact | JEN MAKIN Owner 801-900-1353 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
101YP2500X Counselor Professional | |
Enumeration Date | 2018-11-17 |
Last Update Date | 2019-06-11 |