| NPI | 1164137170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB CHRISTIAN HUNSAKER CEO 435-538-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2025-10-13 |