| NPI | 1689970808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LITTLE CEO 801-592-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 213557-3501) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 213557-3501) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |