| NPI | 1164970869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER TOLEN Executive Director 801-491-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |