| NPI | 1710226956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD JEPPSON Owner 801-255-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 80827886009) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |