| NPI | 1487483186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA RATNER President, Gove RN Ment Programs 801-783-1829 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-09-24 |