NPI | 1760948251 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHAL LUNT Owner 801-560-3822 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
103TC1900X Psychologist, Counseling | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2019-02-20 |
Last Update Date | 2019-05-21 |