| NPI | 1689853251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A HANKS Owner/Director 801-944-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 3331033501) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |