| NPI | 1366720104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL NOORLANDER Social Worker 801-360-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2012-06-26 |