| NPI | 1730420548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE M. SPEICHER President 435-659-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 120742-600490) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 6647064-6004) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |