| NPI | 1548912488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BURT LINDSAY Owner 801-822-7725 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |