| NPI | 1609274158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ROSE PETERS Mental Health Therapy 801-643-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: UT 8616) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |