| NPI | 1407529720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE GARNER COO 435-452-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| 163WC0400X Registered Nurse Case Management | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |