| 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 |