NPI | 1831405836 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMMY RYAN THAYNE CEO 801-768-1441 |
Organization Subpart ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 3683823902) |
Enumeration Date | 2010-08-27 |
Last Update Date | 2018-07-27 |