Organization
ELEMENTS TRAVERSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE DONALD (EXECUTIVE DIRECTOR)
(801) 558-0334
Entity
Organization
Contact information
Practice address
130 N MAIN ST, HUNTINGTON, UT 84528-5501
(801) 558-0334
Mailing address
1768 E INDIAN WELLS LN, DRAPER, UT 84020-8898
(801) 558-0334
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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