| NPI | 1619909116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SYLVESTER COOK CEO 435-753-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 4787371-2501) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-10-11 |