| NPI | 1083732051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE B. OLDS President 801-652-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: UT 2152474405) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |