Organization
SHREYA HEALTH OF UTAH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONMOY SHARMA (CEO)
(302) 454-1265
Entity
Organization
Contact information
Practice address
275 W 100 S, DELTA, UT 84624-9238
(302) 454-1265
Mailing address
PO BOX 5915, SAN CLEMENTE, CA 92674-5915
(949) 276-5553
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/21/2014
Last updated
11/05/2015
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