| NPI | 1659400778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN N WILLIAMS President 801-953-8543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AK CH 336) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-01-29 |