Creative Hearts Outpatient Center, Llc | |
4048 Riverdale Rd Ste 1199 Ogden UT 84405-1518 | |
(775) 292-3535 | |
(385) 510-2008 |
Full Name | Creative Hearts Outpatient Center, Llc |
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Speciality | Community/behavioral Health |
Location | 4048 Riverdale Rd Ste 1199, Ogden, Utah |
Authorized Official Name and Position | Marianne Kristine Milanes (OWNER) |
Authorized Official Contact | 7752923535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Creative Hearts Outpatient Center, Llc 4048 Riverdale Rd Ste 1199 Ogden UT 84405-1518 Ph: (775) 292-3535 | Creative Hearts Outpatient Center, Llc 4048 Riverdale Rd Ste 1199 Ogden UT 84405-1518 Ph: (775) 292-3535 |
NPI Number | 1962185280 |
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Provider Enumeration Date | 08/11/2023 |
Last Update Date | 08/11/2023 |
Certification Date | 08/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962185280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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