Organization
PB UTAH SERVICES, LLC
Active
Organization
PB UTAH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN KLEIN (PRESIDENT)
(847) 329-4100
Entity
Organization
Contact information
Practice address
8072 S HIGHLAND DR, SALT LAKE CITY, UT 84121-5037
(801) 967-7664
Mailing address
7444 LONG AVE, SKOKIE, IL 60077-3214
(847) 329-4100
(847) 329-4900
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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