| NPI | 1245293372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SYLVESTER Owner/Director 801-949-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 2904883501) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-22 |