| NPI | 1699142414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI PINEGAR Office Manager 801-362-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 4938494-3501) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2016-06-08 |