| NPI | 1710325477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TERRANCE ALONZO Owner 801-707-7938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 6702499-3902) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |