| NPI | 1922514546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HYDO Owner/Therapist 801-980-3402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6255312-3501) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2022-06-29 |