Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Connect Care - Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHY EXECUTIVE)
(801) 442-3495
Entity
Organization
Contact information
Practice address
5373 S GREEN ST STE 400, MURRAY, UT 84123-4740
(833) 442-2670
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-5502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
01/07/2021
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