NPI | 1124085170 |
---|---|
Other Name | CHILDREN'S OUTPATIENT SERVICES |
Entity Type | Organization |
Authorized Contact | DEBRA FALVO Executive Director 801-253-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103TC0700X Psychologist, Clinical | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
163WP0808X Registered Nurse, Psych/Mental Health | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2011-08-25 |