| NPI | 1003088691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK V. JOHNSON Owner 801-685-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 1347223501) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2013-01-08 |