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Organization
SILVER CREEK PSYCHIATRY
Active
Organization
SILVER CREEK PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA LYNN GLEAVE RN/DON (OWNER)
(801) 830-8541
Entity
Organization
Contact information
Practice address
1478 E 820 N, OREM, UT 84097-5481
(801) 830-8541
Mailing address
1478 E 820 N, OREM, UT 84097-5481
(801) 830-8541
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2017-31336
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822587494
MEDICAL
UT
Enumeration date
10/26/2017
Last updated
10/26/2017
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