| NPI | 1750162145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAPRICE ELIZABETH COMPTON Owner/Director 801-989-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine | |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-11-02 |