| NPI | 1790726156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MINER Agency Director 801-216-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 100903) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 10903) |
| 106H00000X Marriage & Family Therapist (Licence: UT 10903) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-08-20 |