| Sacred Hoop Healing Center | |
|
210 W 200 N Suite 106 Provo UT 84601-2852 | |
| (801) 400-8460 | |
| Not Available |
| Full Name | Sacred Hoop Healing Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 210 W 200 N, Provo, Utah |
| Authorized Official Name and Position | Neil Roger Goslin (COUNSELOR) |
| Authorized Official Contact | 4358681040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Hoop Healing Center 210 W 200 N Suite 106 Provo UT 84601-2852 Ph: (801) 400-8460 | Sacred Hoop Healing Center 210 W 200 N Suite 106 Provo UT 84601-2852 Ph: (801) 400-8460 |
| NPI Number | 1760730600 |
|---|---|
| Provider Enumeration Date | 08/27/2012 |
| Last Update Date | 08/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760730600 | NPI | - | NPPES |
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