| NPI | 1659736262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORI SAVILLE Director 435-862-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NV APRN001946) |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2015-12-24 |