NPI | 1639057532 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS RAYNER Chief Medical Officer 801-815-3106 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2025-08-27 |
Last Update Date | 2025-08-27 |