| NPI | 1952838435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HYDO Executive Director 801-980-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 6255312-3501) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-06-29 |