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Organization

INNERCHANGE OAKLEY, LLC

Active
Parent organization
SOLACIUM HOLDINGS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOLACIUM HOLDINGS, LLC
Authorized official
LANCE DAVIS (PRESIDENT)
(877) 282-4782
Entity
Organization

Contact information

Practice address
251 WEST WEBER CANYON ROAD, OAKLEY, UT 84055-0357
(433) 783-5010
Mailing address
661 EAST TECHNOLOGY AVENUE, BUILDING B, SUITE 1100, OREM, UT 84097-6209

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
08/05/2013
Last updated
08/05/2013
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