| Spectrum Support Services | |
|
205 E 1100 S Vernal UT 84078-4784 | |
| (435) 621-1668 | |
| Not Available |
| Full Name | Spectrum Support Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 205 E 1100 S, Vernal, Utah |
| Authorized Official Name and Position | Keith James Meeks (OWNER) |
| Authorized Official Contact | 4356211668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Support Services 205 E 1100 S Vernal UT 84078-4784 Ph: (435) 621-1668 | Spectrum Support Services 205 E 1100 S Vernal UT 84078-4784 Ph: (435) 621-1668 |
| NPI Number | 1730835455 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730835455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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