| NPI | 1093979379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN REDENBAUGH MAGDALEN President 801-582-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 135045-3501) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-08-11 |