| NPI | 1467071407 |
|---|---|
| Doing Business As | SURVIVOR WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JOHN LIBRETT CEO 801-558-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 251S00000X |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |