Organization
PARADISE CREEK RECOVERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW TAYLOR HEDELIUS PSY.D., L.C.S.W. (PRESIDENT)
(435) 881-2500
Entity
Organization
Contact information
Practice address
2666 S HIGHWAY 81, MALTA, ID 83342-8749
(855) 442-1912
(435) 713-4001
Mailing address
40 W CACHE VALLEY BLVD STE 10A, LOGAN, UT 84341-8450
(435) 787-2272
(435) 713-4001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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