| Aba Total Care Ut Llc | |
|
1140 36th St Ste 157 Ogden UT 84403-2050 | |
| (404) 400-5004 | |
| Not Available |
| Full Name | Aba Total Care Ut Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1140 36th St Ste 157, Ogden, Utah |
| Authorized Official Name and Position | Ruben Kesherim (PRESIDENT) |
| Authorized Official Contact | 4044005004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Total Care Ut Llc 1140 36th St Ste 157 Ogden UT 84403-2050 Ph: () - | Aba Total Care Ut Llc 1140 36th St Ste 157 Ogden UT 84403-2050 Ph: (404) 400-5004 |
| NPI Number | 1093539900 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093539900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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