| NPI | 1295385052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY MILLS Office Specialist 435-313-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |