| King's Haven, Llc | |
|
1470 S 430 W Orem UT 84058-7313 | |
| (385) 230-8942 | |
| Not Available |
| Full Name | King's Haven, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1470 S 430 W, Orem, Utah |
| Authorized Official Name and Position | Charles Michael King (CEO) |
| Authorized Official Contact | 3852308942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King's Haven, Llc 1470 S 430 W Orem UT 84058-7313 Ph: (385) 230-8942 | King's Haven, Llc 1470 S 430 W Orem UT 84058-7313 Ph: (385) 230-8942 |
| NPI Number | 1396374153 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 04/03/2020 |
| Certification Date | 04/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396374153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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