| NPI | 1700408978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT D HOFHINES Owner 435-229-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2022-04-08 |