| NPI | 1972063592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY GARR Owner/Provider 801-599-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-10-23 |