| NPI | 1780099879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA MATTHEWS Clinical Social Worker 801-441-9737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 285312-3501) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |