| NPI | 1265709844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELENE SALLUM DALANHESE Clinical Director/Owner 801-403-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 5222307-3501) |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2021-04-01 |