NPI | 1972141588 |
---|---|
Doing Business As | INTEGRATED PSYCH, LLC |
Entity Type | Organization |
Authorized Contact | ALBERTO W SOUZA Psychiatric Nurse Practitioner 435-817-9784 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-12-13 |
Last Update Date | 2023-11-22 |