| NPI | 1689828048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SPANGLER Secretary 435-817-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 350887-6004) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |