| NPI | 1700642220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MAYFIELD CEO 435-669-4024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |