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1 E Center St Ste 207 Provo UT 84606-3153 | |
| (385) 325-0755 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 E Center St Ste 207, Provo, Utah |
| Authorized Official Name and Position | Arthur Andrew Scotson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8013196316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 E Center St Ste 207 Provo UT 84606-3153 Ph: (385) 325-0755 | 1 E Center St Ste 207 Provo UT 84606-3153 Ph: (385) 325-0755 |
| NPI Number | 1871946509 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871946509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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