| NPI | 1720729692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIE K OAKLEY Owner 435-671-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |