| NPI | 1578333126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DAVIS Director Of Operations 801-494-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |