Organization
IKAE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IURI TIAGO MELO LCSW (OWNER)
(435) 986-1805
Entity
Organization
Contact information
Practice address
640 E 700 S, SUITE 207, SAINT GEORGE, UT 84770-4023
(435) 628-2718
Mailing address
689 E SONORAN DR, WASHINGTON, UT 84780-8261
(435) 986-1805
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
52521653501
UT
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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