| NPI | 1760730600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL ROGER GOSLIN Counselor 435-868-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 327723-6004) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 327723-6004) |
| 101YM0800X Counselor, Mental Health (Licence: UT 327723-6004) | |
| 101YP2500X Counselor, Professional (Licence: UT 327723-6004) | |
| 106H00000X Marriage & Family Therapist (Licence: UT 327723-6004) | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |