Organization
ACCESS FOUNDATION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KEENAN LASUDC (EXECUTIVE DIRECTOR)
(435) 680-1459
Entity
Organization
Contact information
Practice address
283 W AUTO MALL DR STE 4, ST GEORGE, UT 84770-2200
(435) 680-1459
Mailing address
283 W AUTO MALL DR STE 4, ST GEORGE, UT 84770-2200
(435) 680-1459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
09/24/2024
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