| NPI | 1912886060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADEN OLSON Owner / Managing Member 801-719-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-01 |