| NPI | 1245636430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ELAINE BUFFI Owner 801-703-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 351724-3501) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2022-09-29 |