NPI | 1063536381 |
---|---|
Doing Business As | PRIMARY CHILDREN'S HOSPITAL CHILD PSYCHOLOGY & PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | JP VALIN Chief Medical Officer 801-442-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103T00000X Psychologist |
2084P0800X Psychiatry & Neurology, Psychiatry | |
261QM1300X Clinic/Center, Multi-Specialty | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2023-04-02 |