Organization
MACMATHAN LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALEXANDER MATHESON CMHC (OWNER)
(801) 707-9265
Entity
Organization
Contact information
Practice address
12067 S DRAPER CREST LN UNIT 11, DRAPER, UT 84020-5218
(801) 707-9265
Mailing address
12067 S DRAPER CREST LN UNIT 11, DRAPER, UT 84020-5218
(801) 707-9265
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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