NPI | 1639866924 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANN AHYOU Credentialing 801-679-3031 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-04-24 |