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3585 N University Ave Ste 350 Provo UT 84604-6608 | |
| (385) 312-9844 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3585 N University Ave Ste 350, Provo, Utah |
| Authorized Official Name and Position | Anthony Allen Hughes (OWNER) |
| Authorized Official Contact | 3853129844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
48 S 100 W Pleasant Grove UT 84062-2618 Ph: (385) 312-9844 | 3585 N University Ave Ste 350 Provo UT 84604-6608 Ph: (385) 312-9844 |
| NPI Number | 1942690656 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 02/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942690656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 356326-3902 (Utah) | Primary |
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