NPI | 1336452481 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT PAUL BUTTERS President 801-313-0555 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 4739460-3501) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 200147-8900) |
Enumeration Date | 2010-07-19 |
Last Update Date | 2010-07-19 |