Center for Marriage Preparation

NPI #1205568045 in Provo, Utah

Provider Information

NPI Number: 1205568045
Entity Type: Organization
Organization Name: Center for Marriage Preparation
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Jun 29, 2022
Last Updated: Jun 29, 2022

Practice Location

Address: 3355 N UNIVERSITY AVE STE 250-D
City: Provo
State: Utah
ZIP Code: 84604-4481
Phone: (801) 471-9146

Authorized Official

Name: DR. JEREMY BODEN, PHD, LMFT
Title: EXECUTIVE DIRECTOR
Phone: (801) 471-9146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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