| NPI | 1700120334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SNOW Office Manager 801-486-7940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 148121-1205) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2013-04-09 |