| NPI | 1679728141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOVELAND Owner 801-660-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 292110-3501) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |