| NPI | 1578425781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RAYNER Medical Director, Owner 801-477-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2026-04-03 |