Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Avenues Inpatient Psychiatry, Avenues Psychiatry & Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH GLICKMAN MD (INTMN MEDICAL GROUP PRES/CMO CBC)
(801) 442-2905
Entity
Organization
Contact information
Practice address
324 10TH AVE, STE 178, SALT LAKE CITY, UT 84103-2885
(801) 408-8500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-8500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6272012
UT
Other
Enumeration date
10/22/2012
Last updated
11/05/2019
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