| NPI | 1588436745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA SMITH Owner, Therapist 801-810-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-11-18 |