| 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 Psychiatric/Mental Health | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-04-02 |