| Creative Hearts Outpatient Center, Llc | |
|
4048 Riverdale Rd Ste 1199 Ogden UT 84405-1518 | |
| (775) 292-3535 | |
| (385) 510-2008 |
| Full Name | Creative Hearts Outpatient Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4048 Riverdale Rd Ste 1199, Ogden, Utah |
| Authorized Official Name and Position | Marianne Kristine Milanes (OWNER) |
| Authorized Official Contact | 7752923535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Hearts Outpatient Center, Llc 4048 Riverdale Rd Ste 1199 Ogden UT 84405-1518 Ph: (775) 292-3535 | Creative Hearts Outpatient Center, Llc 4048 Riverdale Rd Ste 1199 Ogden UT 84405-1518 Ph: (775) 292-3535 |
| NPI Number | 1962185280 |
|---|---|
| Provider Enumeration Date | 08/11/2023 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962185280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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