Organization
IHC HEALTH SERVICES INC
Active
Other names
MKDH Behavioral Health Institute
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE J. JOHNSON (MANAGER, PROVIDER ENROLLMENT)
(801) 442-3156
Entity
Organization
Contact information
Practice address
5030 HARRISON BLVD, OGDEN, UT 84403-4311
(801) 442-1400
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1400
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
12/03/2013
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