| NPI | 1497592356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ROBISON Licensed Clinical Social Worker 801-725-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |