| 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 |