| NPI | 1912140849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ARLENE KELEN Licensed Clinical Social Worker 801-537-7523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: UT 119968-3501) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2021-06-09 |