| NPI | 1568529188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE VARECHOK Licensed Clinical Social Worker 801-277-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 134414-3501) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-02-26 |