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Organization
CANCER WELLNESS HOUSE, INC.
Active
Organization
CANCER WELLNESS HOUSE, INC.
Active
Other names
Survivor Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LIBRETT PHD, MPH (CEO)
(801) 558-5950
Entity
Organization
Contact information
Practice address
59 S 1100 E, SALT LAKE CITY, UT 84102-1508
(801) 236-2294
Mailing address
59 S 1100 E, SALT LAKE CITY, UT 84102-1508
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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