| Lds Family Services | |
|
2005 N 900 E Provo UT 84604-1763 | |
| (801) 422-4036 | |
| Not Available |
| Full Name | Lds Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2005 N 900 E, Provo, Utah |
| Authorized Official Name and Position | Joseph Brad Burton (DIRECTOR) |
| Authorized Official Contact | 8014224036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services 2005 N 900 E Provo UT 84604-1763 Ph: () - | Lds Family Services 2005 N 900 E Provo UT 84604-1763 Ph: (801) 422-4036 |
| NPI Number | 1134336944 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134336944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1163463942 (Utah) | Primary |
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