| NPI | 1629476502 | 
|---|---|
| Doing Business As | PAIN MANAGEMENT MENTAL HEALTH | 
| Entity Type | Organization | 
| Authorized Contact | SAMUEL FINLAYSON Chief Clinical Officer 801-587-6336 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 208VP0000X | 
| Enumeration Date | 2014-12-09 | 
| Last Update Date | 2021-01-22 |