| Alkali Utah, Llc | |
|
150 S 600 E Ste 8b Salt Lake City UT 84102-1989 | |
| (801) 213-9650 | |
| Not Available |
| Full Name | Alkali Utah, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 150 S 600 E Ste 8b, Salt Lake City, Utah |
| Authorized Official Name and Position | Julianne Rabb (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 8013129650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alkali Utah, Llc 150 S 600 E Ste 8b Salt Lake City UT 84102-1989 Ph: (801) 213-9650 | Alkali Utah, Llc 150 S 600 E Ste 8b Salt Lake City UT 84102-1989 Ph: (801) 213-9650 |
| NPI Number | 1962153643 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962153643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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