| Neurobehavior Home Program | |
|
650 Komas Drive, Ste. #200 Salt Lake City UT 84108 | |
| (801) 585-1933 | |
| (801) 581-8979 |
| Full Name | Neurobehavior Home Program |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 650 Komas Drive, Ste. #200, Salt Lake City, Utah |
| Authorized Official Name and Position | Josette Dorius (SERVICE DIRECTOR) |
| Authorized Official Contact | 8015873108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavior Home Program Po Box 413076 Salt Lake City UT 84141-3076 Ph: (801) 239-3900 | Neurobehavior Home Program 650 Komas Drive, Ste. #200 Salt Lake City UT 84108 Ph: (801) 585-1933 |
| NPI Number | 1063456143 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 02/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063456143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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