Organization
CO-PSYCHE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DANIELS MD, MHA (PRESIDENT)
(512) 364-1566
Entity
Organization
Contact information
Practice address
1000 E 100 N, PAYSON, UT 84651-1600
Mailing address
1155 BRIAR AVE, PROVO, UT 84604-2843
(512) 364-1566
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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