| NPI | 1578819892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EASTMOND President/Owner 801-369-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 47663273501) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |