| NPI | 1265199228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA REED BENTLEY Owner 801-436-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-03-07 |