| NPI | 1417120650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE J DALTON CFO 801-299-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 2007-HOSP-189) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |