| 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 | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 363AM0700X Physician Assistant Medical | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2016-12-28 |