| NPI | 1881353290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS EMERY GOMEZ Owner 801-995-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-12-30 |