| NPI | 1932519584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M RECTOR Owner 801-870-4812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6502434-3501) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |