NPI | 1508638644 |
---|---|
Doing Business As | VINEYARD PRIMARY CARE AND ASSESSMENT |
Doing Business As | GENEVA CENTER |
Entity Type | Organization |
Authorized Contact | ANTHONY MOSIER COO 801-426-8800 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-10-23 |
Last Update Date | 2024-12-03 |