| NPI | 1942856869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA PECK Therapist/Owner 435-494-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-10-12 |