NPI | 1235417684 |
---|---|
Entity Type | Organization |
Authorized Contact | SYLVIA BRUNISHOLZ Program Manager 801-347-0074 |
Organization Subpart ? | No |
Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: UT 0008208) |
Enumeration Date | 2011-08-02 |
Last Update Date | 2012-12-06 |