| NPI | 1528413531 |
|---|---|
| Doing Business As | NEUROSTIMULATION CLINIC - PEDIATRIC OUT REACH |
| Entity Type | Organization |
| Authorized Contact | JON KAR ZUBIETA Department Chair 801-587-6336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |