Organization
INTEGRATIVE AMD HOLISTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIE ARCHIBALD LCSW (OWNER/THERAPIST)
(801) 923-3290
Entity
Organization
Contact information
Practice address
375 N MAIN ST STE 202, KAYSVILLE, UT 84037-1278
(801) 923-3290
Mailing address
375 N MAIN ST STE 202, KAYSVILLE, UT 84037-1278
(801) 923-3290
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
06/15/2022
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