| NPI | 1598055147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY ALLEN REICH Manager 801-450-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 2736693902) |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2011-04-17 |