| Choice Supported Employment Of Utah, Inc. | |
|
456 E 3600 N North Ogden UT 84414-7563 | |
| (801) 726-3563 | |
| (801) 883-8316 |
| Full Name | Choice Supported Employment Of Utah, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 456 E 3600 N, North Ogden, Utah |
| Authorized Official Name and Position | Laurie Jaussi (DIRECTOR/OWNER) |
| Authorized Official Contact | 8017263563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Supported Employment Of Utah, Inc. 456 E 3600 N North Ogden UT 84414-7563 Ph: (801) 726-3563 | Choice Supported Employment Of Utah, Inc. 456 E 3600 N North Ogden UT 84414-7563 Ph: (801) 726-3563 |
| NPI Number | 1073939252 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 03/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073939252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1958 (Utah) | Primary |
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