| NPI | 1659084879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALLEN RAYNER Medical Director 801-477-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2025-08-07 |