Organization
SEAGLASS HEALTH,LLC
Active
Other names
Seaglass Health,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MACKINTOSH CEO (CHIEF EXECUTIVE DIRECTOR)
(801) 928-0474
Entity
Organization
Contact information
Practice address
9035 EAST 1300 SOUTH, SUITE 210, SANDY, UT 84094
(382) 281-2221
(801) 999-4161
Mailing address
9035 EAST 1300 SOUTH, SUITE 210, SANDY, UT 84094
(382) 281-2221
(801) 999-4161
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
824409479
SUBSTANCE ABUSE AND MENTAL HEALTH
DE
Enumeration date
01/19/2021
Last updated
01/19/2021
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