| NPI | 1245916006 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MELISSA ALM Psychiatric Nurse Practitioner 801-946-4740 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Additional Taxonomies | 163W00000X Registered Nurse | 
| Enumeration Date | 2023-06-26 | 
| Last Update Date | 2023-06-26 |