| NPI | 1225770449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT D HOFHINES Owner 435-229-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |