| NPI | 1235595810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BESITLINE Lmft 801-824-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 8677094-3902) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |