Organization
HUB MEDICAL AND BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL PATRICK WARDLE (GROUP OWNER)
(801) 680-8751
Entity
Organization
Contact information
Practice address
1309 W SOUTH JORDAN PKWY STE 200, SOUTH JORDAN, UT 84095-9002
(801) 680-8751
Mailing address
461 W 13490 S, DRAPER, UT 84020-7223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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