| NPI | 1376323360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAPRICE ELIZABETH COMPTON Head Clinician 435-351-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2024-02-26 |