| NPI | 1801786629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CADE BENJAMIN WOOLSEY Owner/Authorized Official 435-513-4637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |