| NPI | 1770793861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE D ADAMSON Owner Director 801-747-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 2962053501) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |