Organization
METRO TREATMENT OF UTAH LP
Active
Parent organization
METRO TREATMENT OF UTAH LP
Other names
Logan Metro Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
METRO TREATMENT OF UTAH LP
Authorized official
RODNEY WILLIAMS (CFO)
(407) 351-7080
Entity
Organization
Contact information
Practice address
1300 N 200 E, SUITE 104, LOGAN, UT 84341-2398
(435) 755-5915
(435) 775-5917
Mailing address
14050 TOWN LOOP BLVD, SUITE 204, ORLANDO, FL 32837-6190
(407) 351-7080
(407) 351-6930
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11675
UT
3336C0002X
Clinic Pharmacy
5888583-1704
UT
Other
Enumeration date
05/15/2007
Last updated
09/25/2019
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