| NPI | 1700383502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE LEE CURZON Owner 801-557-0958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8609120-3501) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |