| Access Foundation Corp. | |
|
283 W Auto Mall Dr Ste 4 St George UT 84770-2200 | |
| (435) 680-1459 | |
| Not Available |
| Full Name | Access Foundation Corp. |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 283 W Auto Mall Dr Ste 4, St George, Utah |
| Authorized Official Name and Position | Michael Keenan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4356801459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Foundation Corp. 283 W Auto Mall Dr Ste 4 St George UT 84770-2200 Ph: (435) 680-1459 | Access Foundation Corp. 283 W Auto Mall Dr Ste 4 St George UT 84770-2200 Ph: (435) 680-1459 |
| NPI Number | 1104698422 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104698422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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