Organization
LIFE TRACK SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HAMMON L.P.C (PRESIDENT)
(801) 573-5391
Entity
Organization
Contact information
Practice address
3243 W 6960 S, WEST JORDAN, UT 84084-1750
(801) 573-5391
(801) 840-5485
Mailing address
3243 W 6960 S, WEST JORDAN, UT 84084-1750
(801) 573-5391
(801) 840-5485
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4831438-6004
UT
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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