| NPI | 1205790516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SLAUSON Director 801-885-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 104100000X Social Worker | |
| 225800000X Recreation Therapist | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2025-12-11 |