| Evoke At Entrada | |
|
2711 Santa Clara Dr Ste 400 Santa Clara UT 84765-5480 | |
| (435) 674-9310 | |
| (435) 674-9309 |
| Full Name | Evoke At Entrada |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2711 Santa Clara Dr Ste 400, Santa Clara, Utah |
| Authorized Official Name and Position | Gail Bramlet (OFFICE MANAGER) |
| Authorized Official Contact | 4352295395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evoke At Entrada 2711 Santa Clara Dr Ste 400 Santa Clara UT 84765-5480 Ph: (435) 674-9310 | Evoke At Entrada 2711 Santa Clara Dr Ste 400 Santa Clara UT 84765-5480 Ph: (435) 674-9310 |
| NPI Number | 1326403379 |
|---|---|
| Provider Enumeration Date | 12/17/2015 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326403379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9190382-3501 (Utah) | Primary |
Second Nature Entrada Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2711 Santa Clara Dr, Suite 200, Santa Clara, UT 84765 Phone: 435-674-9310 Fax: 435-674-9309 | |
Possibilities Aba Utah Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3641 Vista View Cir, Santa Clara, UT 84765 Phone: 718-791-4705 |