| NPI | 1952771859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAFFY JO GROW Owner 801-262-5418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 13139666004) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |