| Ute Tribe Alcohol/substance Abuse Prevention | |
|
550 South 6777 East Fort Duchesne UT 84026 | |
| (435) 722-3234 | |
| Not Available |
| Full Name | Ute Tribe Alcohol/substance Abuse Prevention |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 550 South 6777 East, Fort Duchesne, Utah |
| Authorized Official Name and Position | Anthony Guzman (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4357223234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ute Tribe Alcohol/substance Abuse Prevention 550 South 6777 East P.o.box 369 Fort Duchesne UT 84026 Ph: (435) 722-3234 | Ute Tribe Alcohol/substance Abuse Prevention 550 South 6777 East Fort Duchesne UT 84026 Ph: (435) 722-3234 |
| NPI Number | 1225401763 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225401763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Fort Duchesne Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6822 E 1000 South, Fort Duchesne, UT 84026 Phone: 435-722-5122 |