| NPI | 1558430389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE A FORSYTHE President 801-273-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 2189134405) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-12-31 |