| NPI | 1720120249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET L THOMPSON Director 801-521-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 126354-3501) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |