| Brothers Keeper | |
|
9160 S 300 W Ste 13 Sandy UT 84070-2656 | |
| (801) 571-4325 | |
| Not Available |
| Full Name | Brothers Keeper |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9160 S 300 W Ste 13, Sandy, Utah |
| Authorized Official Name and Position | John V. James (OWNER) |
| Authorized Official Contact | 8013269173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brothers Keeper 9160 S 300 W Ste 13 Sandy UT 84070-2656 Ph: (801) 571-4325 | Brothers Keeper 9160 S 300 W Ste 13 Sandy UT 84070-2656 Ph: (801) 571-4325 |
| NPI Number | 1285979583 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 11/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285979583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6253804-3501 (Utah) | Primary |
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