Organization
WASATCH MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY SMITH (HUMAN SERVICE WORKER)
(919) 434-7931
Entity
Organization
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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