| NPI | 1366939068 |
|---|---|
| Doing Business As | BROOKSTONE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE TIPPETTS BROOKS Program Director 435-628-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: UT 8143132-3102) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |