| NPI | 1942164116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE WEBB Licensed Clinical Social Worker 435-730-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-30 |