NPI | 1639693344 |
---|---|
Entity Type | Organization |
Authorized Contact | DYLAN MATSUMORI Director 435-652-7756 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 1244136008) |
103T00000X Psychologist (Licence: UT 91334252501) | |
1041C0700X Social Worker, Clinical (Licence: UT 1351453501) | |
163W00000X Registered Nurse (Licence: UT 3288013102) | |
363L00000X Nurse Practitioner (Licence: UT 7343133-4405) | |
363L00000X Nurse Practitioner (Licence: UT 50390644405) | |
364S00000X Clinical Nurse Specialist (Licence: UT 50390644405) | |
Enumeration Date | 2017-08-03 |
Last Update Date | 2022-07-21 |