| St Anthony House Treatment Program | |
|
331 W 2700 S South Salt Lake UT 84115-2904 | |
| (801) 915-4625 | |
| Not Available |
| Full Name | St Anthony House Treatment Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 331 W 2700 S, South Salt Lake, Utah |
| Authorized Official Name and Position | Alycia Erika Jurgela (OWNER) |
| Authorized Official Contact | 8016783317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Anthony House Treatment Program 331 W 2700 S South Salt Lake UT 84115-2904 Ph: (801) 915-4625 | St Anthony House Treatment Program 331 W 2700 S South Salt Lake UT 84115-2904 Ph: (801) 915-4625 |
| NPI Number | 1861774994 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861774994 | NPI | - | NPPES |
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