| NPI | 1275701054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH MANVILLE President 801-328-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 131196-3501) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |