NPI | 1700186699 |
---|---|
Doing Business As | LIFE SKILLS CLINIC |
Entity Type | Organization |
Authorized Contact | KASEY DUANE MITCHELL Clinic Manager 801-585-7448 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Enumeration Date | 2010-10-26 |
Last Update Date | 2010-11-01 |