Organization
ANICKA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE DALTON (DIRECTOR)
(801) 654-9391
Entity
Organization
Contact information
Practice address
3195 SOUTH MAIN ST, STE 260, SOUTH SALT LAKE, UT 84115
(385) 333-6403
(810) 303-7383
Mailing address
3195 SOUTH MAIN ST, STE 260, SOUTH SALT LAKE, UT 84115
(385) 333-6403
(810) 303-7383
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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