| NPI | 1568771061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL WHITE Business Manager 801-531-7389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 22124871-3501) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |