| NPI | 1245897214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE LEMMON Owner 801-568-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2022-12-13 |