| NPI | 1154614964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC MICHAEL PHILLIPS Associate Director, Therapist 801-265-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6613419-3501) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-06-28 |