| NPI | 1336443373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN E JOHNSON Owner 801-966-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 154764-1205) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |