| NPI | 1609106426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN M SHINEDLING Psychologist 435-275-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 6906880-2501) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |