| Headin' Home Inc. | |
|
12300 S. 150 W. Draper UT 84020 | |
| (801) 910-2698 | |
| Not Available |
| Full Name | Headin' Home Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12300 S. 150 W., Draper, Utah |
| Authorized Official Name and Position | Dante C Pistone (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8019102698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Headin' Home Inc. 8478 S 4770 W West Jordan UT 84088-4790 Ph: (801) 910-2698 | Headin' Home Inc. 12300 S. 150 W. Draper UT 84020 Ph: (801) 910-2698 |
| NPI Number | 1164908026 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164908026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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