| NPI | 1003144684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK K BURTON Psychologist/Managing Member 801-581-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: UT 49222542501) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2018-04-13 |