| NPI | 1528498250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA BARLOW Owner 801-896-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6456168-3501) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |