| NPI | 1952432635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M SHAWN PALAU Clinical Director 801-399-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-09-07 |