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Organization

FAMILYLOVE211

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NANCY JANE JENKINS PHD (CEO)
(801) 949-1323
Entity
Organization

Contact information

Practice address
393 E RIVERSIDE DR STE 3A, ST GEORGE, UT 84790-7127
(435) 068-8212
Mailing address
393 EAST RIVERSIDE DR BLDG 3A, ST GEORGE, UT 84790
(435) 068-8212

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
3588446004
UT

Other

Enumeration date
01/21/2014
Last updated
01/21/2014
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