Organization
INFINITE ARCHES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL TRACY KELSO (PRESIDENT)
(615) 663-5483
Entity
Organization
Contact information
Practice address
620 24TH ST STE C, OGDEN, UT 84401-4322
(801) 928-7770
Mailing address
PO BOX 41, OGDEN, UT 84402-0041
(801) 928-7770
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
12/28/2023
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