NPI | 1235553850 |
---|---|
Doing Business As | EVOLVE ADDICTION MEDICINE |
Entity Type | Organization |
Authorized Contact | NIKKI GREENWOOD Owner 801-266-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
Enumeration Date | 2014-02-18 |
Last Update Date | 2024-09-12 |