| NPI | 1659888196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY C MOREHEAD Insurance Credentialing Specialist 435-792-6516 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-10-30 |