NPI | 1417299827 |
---|---|
Doing Business As | PROVO CENTER FOR COUPLES AND FAMILIES |
Entity Type | Organization |
Authorized Contact | DAVID PHILLIP SCOVILLE Manager, Owner 801-709-1785 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 8620286-0162) |
Enumeration Date | 2013-03-23 |
Last Update Date | 2021-08-24 |