| NPI | 1932624376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE WRAY Lcsw 801-859-2659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 3236723501) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |