NPI 1003323767

Pure Life Ptg

Organisation Addiction (Substance Use Disorder) Psychologist Sandy, UT

Practice location

Address: 7390 S Creek Rd STE 202, Sandy, UT 84093-6123
Phone: (801) 893-2550
Mailing address: 14218 S Canyon Vine Cv, Draper, UT 84020-5631

Authorised official

Name: John Lund
Title: Executive Director
Phone: (801) 664-3741

Registered specialties

Addiction (Substance Use Disorder) Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TA0400X

Other Psychologist providers in Utah →

Registry record

NPI: 1003323767
Entity type: Organization
NPI issued: 3 Jan 2018
Record last updated: 3 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.