| NPI | 1609297167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SCOTT BOYLE Member/Owner 801-657-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2019-06-14 |