| NPI | 1932406295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WESSON Chief Operating Officer 801-326-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 363AM0700X Physician Assistant, Medical | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 207R00000X Internal Medicine | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2016-12-28 |