| Second Nature Entrada Llc | |
|
2711 Santa Clara Dr Suite 200 Santa Clara UT 84765-5466 | |
| (435) 674-9310 | |
| (435) 674-9309 |
| Full Name | Second Nature Entrada Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2711 Santa Clara Dr, Santa Clara, Utah |
| Authorized Official Name and Position | Rick L Heizer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4356749310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Nature Entrada Llc 2711 Santa Clara Dr Santa Clara UT 84765-5466 Ph: (435) 674-9310 | Second Nature Entrada Llc 2711 Santa Clara Dr Suite 200 Santa Clara UT 84765-5466 Ph: (435) 674-9310 |
| NPI Number | 1063692804 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 11/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063692804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 12776 (Utah) | Primary |
Evoke At Entrada Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2711 Santa Clara Dr Ste 400, Santa Clara, UT 84765 Phone: 435-674-9310 Fax: 435-674-9309 | |
Possibilities Aba Utah Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3641 Vista View Cir, Santa Clara, UT 84765 Phone: 718-791-4705 |