| NPI | 1033708086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HEALY Member/Owner 435-429-0948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2025-07-22 |