| NPI | 1134677859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI THOMAS Owner 435-592-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 4810438-3501) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |