| NPI | 1649901984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY VINCENT Owner / Administrative Director 801-736-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |