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Organization

NEW BEGINNINGS PPA

Active
Other names
New Beginnings PPA
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA MOSS (DIRECTOR OF OPERATIONS)
(801) 390-8321
Entity
Organization

Contact information

Practice address
1478 W 1950 S, SYRACUSE, UT 84075-9822
(801) 525-6880
(801) 525-6997
Mailing address
1478 W 1950 S, SYRACUSE, UT 84075-9822
(801) 525-6880
(801) 525-6997

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
UT

Other

Enumeration date
02/08/2007
Last updated
06/01/2010
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