| NPI | 1679937585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE PUGH Owner 801-888-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8273383-3501) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-10-20 |