NPI | 1417913930 |
---|---|
Other Name | CLOZARIL CLINIC |
Entity Type | Organization |
Authorized Contact | DEBRA FALVO Executive Director 801-263-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
104100000X Social Worker | |
1041C0700X Social Worker Clinical | |
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
2084P0800X Psychiatry & Neurology Psychiatry | |
Enumeration Date | 2006-04-24 |
Last Update Date | 2011-08-25 |