Organization
ATLAS THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO JURACAN PSY.D, CMHC (OWNER)
(801) 310-3091
Entity
Organization
Contact information
Practice address
451 E 1000 S, STE D, PLEASANT GROVE, UT 84062-3700
(801) 310-3091
Mailing address
451 E 1000 S, STE D, PLEASANT GROVE, UT 84062-3700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2391843-6004
UT
251S00000X
Community/Behavioral Health Agency
8155586-6004
UT
251S00000X
Community/Behavioral Health Agency
8937085-6009
UT
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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