| NPI | 1235284100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALICE STODDARD CUNNINGHAM CEO 801-842-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 323492-3501) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |