| NPI | 1124842547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN B WINKWORTH Owner 801-516-9123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |