Organization
REGIONAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GARDINER LCSW (CLINICAL DIRECTOR)
(801) 394-7548
Entity
Organization
Contact information
Practice address
2351 GRANT AVE STE 103, OGDEN, UT 84401-1840
(801) 394-7548
Mailing address
2351 GRANT AVE STE 103, OGDEN, UT 84401-1840
(801) 394-7548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
263938-3501
UT
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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