| NPI | 1841869179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ANN SIMMONS Director Of Clinical Services 801-755-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |