| NPI | 1982958641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY SUE SIMONS Licensed Clinical Social Worker 801-314-4550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6262134-3501) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |