NPI | 1790257046 |
---|---|
Doing Business As | DAYSPRING CLINIC - COTTONWOOD |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2018-12-27 |
Last Update Date | 2021-01-07 |