| NPI | 1265051403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE ANN SUMNER Owner 801-413-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2021-04-28 |