NPI | 1851785919 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL FRASURE Managing Partner 801-698-8927 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2015-03-26 |
Last Update Date | 2015-04-03 |