NPI | 1326770165 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD HYDO Executive Director 801-980-2566 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-06-29 |
Last Update Date | 2022-06-29 |