| NPI | 1780003277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LIEBING ALLEN Manager 801-885-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID lcsw-33365) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |