| NPI | 1689407009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLY BARSON Clinical Mental Health Counselor 801-259-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |