| NPI | 1609242460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY ANNIE WEIPPERT Clinical Director 435-773-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 333979-3501) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |