| NPI | 1699142414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSANDRA COX Business Manager 435-709-5298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 4938494-3501) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2024-10-24 |