Alan Brooks Crossroads | |
5150 S Washington Blvd Ste 1 South Ogden UT 84405-4503 | |
(801) 337-0067 | |
(801) 337-0070 |
Full Name | Alan Brooks Crossroads |
---|---|
Speciality | Community/behavioral Health |
Location | 5150 S Washington Blvd Ste 1, South Ogden, Utah |
Authorized Official Name and Position | Alan Brooks (OWNER) |
Authorized Official Contact | 8013370067 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alan Brooks Crossroads 5150 S Washington Blvd Ste 1 South Ogden UT 84405-4503 Ph: (801) 337-0067 | Alan Brooks Crossroads 5150 S Washington Blvd Ste 1 South Ogden UT 84405-4503 Ph: (801) 337-0067 |
NPI Number | 1710207303 |
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Provider Enumeration Date | 06/04/2010 |
Last Update Date | 06/04/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710207303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 15766 (Utah) | Primary |
253J00000X | Foster Care Agency | 15765 (Utah) | Secondary |
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