| NPI | 1962168534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE STEED Owner 801-589-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |