| NPI | 1477610541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRENT TATE CEO 435-656-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: UT 289126-2501) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2010-08-28 |