| NPI | 1831522945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENESE MCDONALD Owner/Therapist 801-960-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 8075851-3501) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |