NPI | 1255145561 |
---|---|
Entity Type | Organization |
Authorized Contact | STEFANI SOLORZANO HANSEN Family Nurse Practitioner 801-372-5232 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-02-05 |
Last Update Date | 2025-02-05 |