| NPI | 1952456907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT ROUNDY President 435-656-2459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 5852286-1205) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |