| NPI | 1881653343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELDA G MCDONALD Director 801-944-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist Counseling | |
| 103TF0000X Psychologist Family | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |