| NPI | 1578967642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET THOMPSON Director 801-521-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8319884-3501) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |