| NPI | 1689912636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB GENE CHRISMAN Chief Operations Officer 801-369-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 501416-3902) |
| Enumeration Date | 2013-01-26 |
| Last Update Date | 2013-01-26 |