| NPI | 1508705229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA ROBINSON Owner/Provider 801-358-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-27 |
| Last Update Date | 2026-04-03 |