NPI | 1033573191 |
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Doing Business As | NEUROSTIMULATION CLINIC - PEDIATRIC ADOLESCENT |
Entity Type | Organization |
Authorized Contact | JON KAR ZUBIETA Department Chair 801-587-6336 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
2084N0008X Psychiatry & Neurology, Neuromuscular Medicine | |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-04-06 |