| NPI | 1710528724 |
|---|---|
| Doing Business As | PARK CITY PSYCHIATRY AND COUNSELING |
| Entity Type | Organization |
| Authorized Contact | SETH GLICKMAN Intm Medical Group Pres/Cmo Cbc 801-442-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |