| NPI | 1538758586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA L APPLEGATE-ANDERSON Provider/Owner 801-244-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |