| NPI | 1740873355 |
|---|---|
| Doing Business As | WISE MIND BEHAVIORAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA KIVLOVITZ Therapist 801-477-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-08-17 |