| NPI | 1538021498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL FIGUERO General Manager 801-554-1635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |