| NPI | 1336151117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE PHILLIPS CEO 801-352-5714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 136310-3501) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2010-12-27 |