Organization
SHORT CREEK SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE ANTHONY MERIDETH (EXECUTIVE DIRECTOR)
(623) 396-2454
Entity
Organization
Contact information
Practice address
980 W FIELD AVE # 843010, HILDALE, UT 84784-7798
(435) 680-1390
Mailing address
980 W FIELD AVE # 843010, HILDALE, UT 84784-7798
(480) 495-5288
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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