NPI | 1760064299 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL S BARNARD Partner 435-938-8508 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-04-23 |
Last Update Date | 2021-04-26 |