NPI | 1003568247 |
---|---|
Entity Type | Organization |
Authorized Contact | CORY SPEAKER Co Owner 801-808-5421 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-01-19 |
Last Update Date | 2022-01-19 |