| 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 |