| Metro Treatment Of Utah Lp | |
|
1300 N 200 E Suite 104 Logan UT 84341-2398 | |
| (435) 755-5915 | |
| (435) 775-5917 |
| Full Name | Metro Treatment Of Utah Lp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1300 N 200 E, Logan, Utah |
| Authorized Official Name and Position | Rodney Williams (CFO) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Treatment Of Utah Lp 14050 Town Loop Blvd Suite 204 Orlando FL 32837-6190 Ph: (407) 351-7080 | Metro Treatment Of Utah Lp 1300 N 200 E Suite 104 Logan UT 84341-2398 Ph: (435) 755-5915 |
| NPI Number | 1508072703 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 09/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508072703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11675 (Utah) | Primary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | 5888583-1704 (Utah) | Secondary |
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