| NPI | 1740158955 |
|---|---|
| Doing Business As | ADULT SPORTS PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | JEANNINE RUSHTON Director 801-587-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0010X Psychiatry & Neurology, Sports Medicine |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |