| NPI | 1114507886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MAXWELL DAHMEN Owner, Provider 435-671-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-04-14 |