| NPI | 1932947199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BROCK FROST Medical Psychologist 801-589-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |