Whalio Doctors

NPI 1427376235

Life Track Services INC.

Organisation Community/Behavioral Health Agency West Jordan, UT

Practice location

Address
3243 W 6960 S, West Jordan, UT 84084-1750
Phone
(801) 573-5391
Fax
(801) 840-5485

Authorised official

Name
Eric Hammon
Title
President
Phone
(801) 573-5391

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 4831438-6004 (UT)

Registry record

NPI
1427376235
Entity type
Organization
NPI issued
4 May 2010
Record last updated
4 May 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.