| NPI | 1912308628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG WARDEN Executive Director 435-216-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 70746733902) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 70746733902) |
| 101YP2500X Counselor, Professional (Licence: UT 70746733902) | |
| 104100000X Social Worker (Licence: UT 70746733902) | |
| 106H00000X Marriage & Family Therapist (Licence: UT 70746733902) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |