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Organization
MOUNTAIN VALLEY INTEGRATIVE SERVICES
Active
Organization
MOUNTAIN VALLEY INTEGRATIVE SERVICES
Active
Other names
Progeny Psychiatric Group Utah
Organization subpart
No
Provider details
NPI number
Authorized official
CHELCIE ADAM (EXECUTIVE DIRECTOR)
(949) 688-3903
Entity
Organization
Contact information
Practice address
6621 W WIDE HOLLOW DR, HERRIMAN, UT 84096-3550
(949) 688-3903
Mailing address
6621 W WIDE HOLLOW DR, HERRIMAN, UT 84096-3550
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
02/24/2021
Last updated
05/11/2021
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