| Ravens Clinical Services, Llc | |
|
870 E 9400 S Ste 109 Sandy UT 84094-3687 | |
| (801) 835-1534 | |
| Not Available |
| Full Name | Ravens Clinical Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 870 E 9400 S Ste 109, Sandy, Utah |
| Authorized Official Name and Position | Mary E Lente (OWNER) |
| Authorized Official Contact | 8018351534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravens Clinical Services, Llc 12781 S Snow Flower Ct Riverton UT 84096-7441 Ph: (801) 835-1534 | Ravens Clinical Services, Llc 870 E 9400 S Ste 109 Sandy UT 84094-3687 Ph: (801) 835-1534 |
| NPI Number | 1548938475 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 09/03/2021 |
| Certification Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548938475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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