| NPI | 1316493521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDSEY PROCTOR Executive Director 801-618-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8699899-3501) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2017-11-07 |