| NPI | 1316769185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS HAWS Authorized Official 435-862-8129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |