| NPI | 1588428684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C. MAIRE Owner/ Dnp, Pmhnp 801-433-7418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2025-05-12 |