| NPI | 1881530228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE FERGUSON Owner 435-238-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-04-27 |