| Marette Monson, Llc | |
|
2180 East 4500 South Suite 105 Holladay City UT 84117 | |
| (385) 202-3778 | |
| (801) 938-9164 |
| Full Name | Marette Monson, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2180 East 4500 South, Holladay City, Utah |
| Authorized Official Name and Position | Marette Monson (OWNER) |
| Authorized Official Contact | 8019801343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marette Monson, Llc 2180 East 4500 South Suite 105 Holladay City UT 84117 Ph: (385) 202-3778 | Marette Monson, Llc 2180 East 4500 South Suite 105 Holladay City UT 84117 Ph: (385) 202-3778 |
| NPI Number | 1700392974 |
|---|---|
| Provider Enumeration Date | 12/23/2017 |
| Last Update Date | 12/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700392974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8661496-3501 (Utah) | Primary |