| Darwin P. Crosland / Abundant Life Social Services | |
|
2813 S 2400 W Syracuse UT 84075-8669 | |
| (801) 436-4500 | |
| Not Available |
| Full Name | Darwin P. Crosland / Abundant Life Social Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2813 S 2400 W, Syracuse, Utah |
| Authorized Official Name and Position | Darwin P. Crosland (PRESIDENT, CEO) |
| Authorized Official Contact | 8014364500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darwin P. Crosland / Abundant Life Social Services 2813 S 2400 W Syracuse UT 84075-8669 Ph: (801) 436-4500 | Darwin P. Crosland / Abundant Life Social Services 2813 S 2400 W Syracuse UT 84075-8669 Ph: (801) 436-4500 |
| NPI Number | 1245786557 |
|---|---|
| Provider Enumeration Date | 08/27/2016 |
| Last Update Date | 08/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245786557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 283932-6004 (Utah) | Primary |
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