| NPI | 1588172068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE MCLELLAND CEO 801-201-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8378553-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 8367569-6004) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |