| NPI | 1750682688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F ANN NIELSEN Clinical Director 801-871-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 6268337-3501) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2016-11-30 |