| NPI | 1871260497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CRANE Owner 435-790-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2023-03-02 |