NPI | 1629426523 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG TQ SMITH Owner/Therapist 801-357-9475 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 7731498-3501) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-06-01 |