| NPI | 1932980026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EVAN JUESCHKE Member/Clinical Therapist 801-999-8333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |