| NPI | 1154527091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL SABIN SMART Clinical Director 801-358-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 277530-3501) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |