| NPI | 1598572695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN FOX Co Owner 801-951-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2025-04-29 |