| NPI | 1568424828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILANI ANNE TAHOLO Owner/Clinical Director 801-972-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 136834-3501) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-22 |