| NPI | 1043491939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ELAINE THAYNE President/CEO 801-427-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 3496723501) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-12-10 |