| NPI | 1760732507 |
|---|---|
| Other Name | PRIMARY CHILDREN'S MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TAMMER ATTALLAH Psychiatric Program Admin Director 801-313-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: UT 4968440-2501) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |