NPI | 1841716990 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARA MITCHELL Owner 435-668-4138 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: UT 8208838-6004) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 8208838-6004) |
Enumeration Date | 2017-08-21 |
Last Update Date | 2018-05-12 |