| 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 |