| NPI | 1417038951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M GENTRY President/Executive Director 801-772-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: UT 276564-2501) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |