Discovery Aba Ut Llc | |
3556 S 5600 W Salt Lake City UT 84120-2815 | |
(718) 675-6957 | |
Not Available |
Full Name | Discovery Aba Ut Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3556 S 5600 W, Salt Lake City, Utah |
Authorized Official Name and Position | Jack Bravmann (CONTROLLER) |
Authorized Official Contact | 7186756957 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Discovery Aba Ut Llc 7 Sterling Pl Lawrence NY 11559-2414 Ph: (171) 873-6568 | Discovery Aba Ut Llc 3556 S 5600 W Salt Lake City UT 84120-2815 Ph: (718) 675-6957 |
NPI Number | 1215715545 |
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Provider Enumeration Date | 09/18/2023 |
Last Update Date | 09/18/2023 |
Certification Date | 09/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215715545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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