| NPI | 1073048195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HAWKINS Owner 801-550-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 3083029-3501) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |