Organization
REDWOOD GROVE DIAGNOSTICS & TRANSITIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TOLEN PH.D. (EXECUTIVE DIRECTOR)
(801) 491-2270
Entity
Organization
Contact information
Practice address
757 S MAIN ST, SPRINGVILLE, UT 84663-2452
(801) 491-2270
Mailing address
757 S MAIN ST, SPRINGVILLE, UT 84663-2452
(801) 491-2270
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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