| NPI | 1689899171 |
|---|---|
| Other Name | AD CLINICAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E DUSOE Owner Director 801-233-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 12555) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-06-16 |