| Mkdh Behavioral Health Institute | |
|
5030 Harrison Blvd Ogden UT 84403-4311 | |
| (801) 442-1400 | |
| Not Available |
| Full Name | Mkdh Behavioral Health Institute |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5030 Harrison Blvd, Ogden, Utah |
| Authorized Official Name and Position | Christine J. Johnson (MANAGER, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8014423156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mkdh Behavioral Health Institute Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Mkdh Behavioral Health Institute 5030 Harrison Blvd Ogden UT 84403-4311 Ph: (801) 442-1400 |
| NPI Number | 1528182870 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528182870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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