| NPI | 1992152771 |
|---|---|
| Doing Business As | BROOKLINE |
| Entity Type | Organization |
| Authorized Contact | JOCELYN ELIZABETH HOLBROOK Owner 801-879-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6010892-3501) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |