NPI | 1033744776 |
---|---|
Other Name | EM CAPITO, LCSW |
Entity Type | Organization |
Authorized Contact | EMILY DIANA CAPITO Owner 801-898-0842 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-03-03 |