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535 S Main St Ste 2 Cedar City UT 84720-3576 | |
| (801) 718-3935 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 535 S Main St Ste 2, Cedar City, Utah |
| Authorized Official Name and Position | Josh L Campbell (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 8017183935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
260 W Saint George Blvd Saint George UT 84770-3792 Ph: (801) 718-3935 | 535 S Main St Ste 2 Cedar City UT 84720-3576 Ph: (801) 718-3935 |
| NPI Number | 1174021281 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174021281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 53345 (Utah) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 53345 (Utah) | Primary |
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