| NPI | 1588378442 |
|---|---|
| Other Name | MOUNTAIN MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHANE EMERON CARTER Pmhnp 801-918-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-08-30 |