| 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 |