| NPI | 1235967209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MACCOMBIE Clinical Director 801-432-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |