| NPI | 1205892080 |
|---|---|
| Other Name | SRS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DEBRA LYNN S FALVO Executive Director 801-263-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 164W00000X Licensed Practical Nurse | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2011-08-25 |