| NPI | 1720142144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS MANUEL DE LA TORRE President Owner 801-973-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 1315073501) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |