| NPI | 1861861825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA VINCENT President 801-229-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |