Organization
ASPEN RIDGE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HASLAM (CEO)
(801) 529-3590
Entity
Organization
Contact information
Practice address
476 HERITAGE PARK BLVD STE 235, LAYTON, UT 84041-5713
(801) 529-3590
Mailing address
476 HERITAGE PARK BLVD STE 235, LAYTON, UT 84041-5713
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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