Whalio Doctors

NPI 1407187974

Crossroads Family Counseling LLC

Organisation Point of Service Riverton, UT

Practice location

Address
12569 S 2700 W STE 202b, Riverton, UT 84065-7182
Phone
(801) 597-7673

Authorised official

Name
Nicole R. Waters
Title
Sole Member
Phone
(801) 597-7673

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence 5087227-6004 (UT)

Registry record

NPI
1407187974
Entity type
Organization
NPI issued
24 Jan 2010
Record last updated
24 Jan 2010

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.