| NPI | 1013218593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE L PERRY Clinical Director 801-217-3523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 17035) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-12-01 |