| NPI | 1740502970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A PETERSON Owner 801-458-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 6068455-3501) |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-15 |