| NPI | 1962294793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY VINCENT Owner 801-736-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |