| NPI | 1659878361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MAE MOSS Mental Health Counselor 435-760-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 7133656-3501) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |