Organization
UTAH STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEGAY COOK (PROGRAMS ADMINISTRATOR)
(435) 797-1415
Entity
Organization
Contact information
Practice address
6813 OLD MAIN HILL, LOGAN, UT 84322-6813
(435) 797-3822
Mailing address
1415 OLD MAIN HILL, LOGAN, UT 84322-1415
(435) 797-1226
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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