NPI | 1023263191 |
---|---|
Doing Business As | PREFERRED FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | RANDALL F HYDE Clinical Director 801-221-0223 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: UT 851131532501) |
Enumeration Date | 2008-11-17 |
Last Update Date | 2008-11-17 |