| NPI | 1639958812 |
|---|---|
| Doing Business As | ABUNDANT LIFE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | FRANCISCO XAVIER AMPUERO Clinical Director 801-427-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-11-21 |