| Therapeutic Center For Change Pc | |
|
1466 N Highway 89 Ste 230 Farmington UT 84025-2738 | |
| (801) 668-0490 | |
| (801) 737-0099 |
| Full Name | Therapeutic Center For Change Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1466 N Highway 89 Ste 230, Farmington, Utah |
| Authorized Official Name and Position | Linda B Tuttle (DIRECTOR) |
| Authorized Official Contact | 8016680490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Center For Change Pc 1466 N Highway 89 Ste 230 Farmington UT 84025-2738 Ph: (801) 668-0490 | Therapeutic Center For Change Pc 1466 N Highway 89 Ste 230 Farmington UT 84025-2738 Ph: (801) 668-0490 |
| NPI Number | 1720262025 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720262025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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