| NPI | 1497717573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK RAY READ Owner/Director 801-808-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 130765-3501) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |