| Utah Clinical Services, Llc | |
|
3500 Harrison Blvd Ste 102 Ogden UT 84403-2027 | |
| (435) 503-6474 | |
| Not Available |
| Full Name | Utah Clinical Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3500 Harrison Blvd Ste 102, Ogden, Utah |
| Authorized Official Name and Position | Shelly Gomez (OWNER/OPERATOR) |
| Authorized Official Contact | 4355036474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Clinical Services, Llc Po Box 150053 Ogden UT 84415-0053 Ph: (435) 503-6474 | Utah Clinical Services, Llc 3500 Harrison Blvd Ste 102 Ogden UT 84403-2027 Ph: (435) 503-6474 |
| NPI Number | 1588065684 |
|---|---|
| Provider Enumeration Date | 09/08/2014 |
| Last Update Date | 09/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588065684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 81702783501 (Utah) | Primary |
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