| NPI | 1710637871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORY HINKLE Co Founder 801-698-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |