Organization
MOUNTAIN VALLEY INTEGRATIVE SERVICES
Active
Other names
Progeny Psychiatric Group Utah
Organization subpart
No
Provider details
NPI number
Authorized official
CHELCIE ADAM (EXECUTIVE DIRECTOR)
(949) 688-3903
Entity
Organization
Contact information
Practice address
6621 W WIDE HOLLOW DR, HERRIMAN, UT 84096-3550
(949) 688-3903
Mailing address
6621 W WIDE HOLLOW DR, HERRIMAN, UT 84096-3550
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
02/24/2021
Last updated
05/11/2021
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