| NPI | 1912872755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMIAYA MOHAMMAD Sole Mbr/Owner 801-624-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |