# INNER SPECTRUMS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710217864
- **Authorized official:** MS. CHERYL E. HAWS LCSW (CEO)
- **Authorized official phone:** (801) 341-8218

## Contact information

- **Practice address:** 3051 W MAPLE LOOP DR, SUITE 201, LEHI, UT 84043-5621
- **Practice address phone:** (801) 341-8218
- **Mailing address:** 2735 DOUBLE EAGLE DR, LEHI, UT 84043-6526
- **Mailing address phone:** (801) 341-8218
- **Mailing address fax:** (801) 341-8218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 5661581-3501 | UT | Yes |

## Other

- **Enumeration date:** 01/12/2010
- **Last updated:** 06/01/2010