Neurobehavior Home Program

NPI 1376939371 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1376939371
Enumeration Date 04/07/2015
Last Updated 04/07/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DEAN DEAN
Position PROGRAM ADMINISTRATOR
Phone (801) 581-5515
Fax
Practice Location
650 S KOMAS DR
STE 200
SALT LAKE CITY UT, 84108-1215, US
Phone (801) 581-5515
Fax
Business Location
650 S KOMAS DR
STE 200
SALT LAKE CITY UT, 84108-1215, US
Phone (801) 581-5515
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Neurobehavior Home Program NPI is 1376939371, taxonomy code is 251S00000X Neurobehavior Home Program physically located at 650 S Komas Dr, Salt Lake City UT, 84108-1215. NPI Number 1033115704 has the healthcare provider type.

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1376939371 NPI number is provided on an as is basis without warranty of any kind. 1376939371 is maintained by the National Plan & Provider Enumeration System. The contents of Neurobehavior Home Program are for informational purposes only.