| Carbajal Kids, Llc | |
|
5617 South 1475 East South Ogden UT 84403-4572 | |
| (801) 989-3488 | |
| Not Available |
| Full Name | Carbajal Kids, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5617 South 1475 East, South Ogden, Utah |
| Authorized Official Name and Position | Stephanie Carbajal (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8019893488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbajal Kids, Llc 5617 South 1475 East South Ogden UT 84403-4572 Ph: () - | Carbajal Kids, Llc 5617 South 1475 East South Ogden UT 84403-4572 Ph: (801) 989-3488 |
| NPI Number | 1730986696 |
|---|---|
| Provider Enumeration Date | 02/27/2025 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730986696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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