NPI | 1922570266 |
---|---|
Doing Business As | BEHAVIORAL HEALTH ACCESS LDSH |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec/Pres Im Group 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2018-12-27 |
Last Update Date | 2018-12-27 |