NPI | 1700020237 |
---|---|
Entity Type | Organization |
Authorized Contact | MERRITT W STITES Owner 801-359-2240 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 132817-3501) |
Enumeration Date | 2009-04-28 |
Last Update Date | 2012-03-05 |