Organization
WELLSPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE I BISHOP (CLINIC MANAGER)
(801) 992-3479
Entity
Organization
Contact information
Practice address
425 MEDICAL DR, BOUNTIFUL, UT 84010-4945
(801) 992-3479
(385) 777-5761
Mailing address
425 MEDICAL DR, BOUNTIFUL, UT 84010-4945
(801) 992-3479
(385) 777-5761
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
35085
UT
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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