Organization
KING'S HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MICHAEL KING LMFT (CEO)
(385) 230-8942
Entity
Organization
Contact information
Practice address
1470 S 430 W, OREM, UT 84058-7313
(385) 230-8942
Mailing address
1470 S 430 W, OREM, UT 84058-7313
(385) 230-8942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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