NPI 1457882508

Mibospi

Organisation Community/Behavioral Health Agency Ogden, UT

Practice location

Address: 1490 E 5600 S, Ogden, UT 84403-4525
Phone: (801) 675-1242

Authorised official

Name: Jared Byron Davis
Title: Owner
Phone: (801) 675-1242

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Utah →

Registry record

NPI: 1457882508
Entity type: Organization
NPI issued: 21 Mar 2017
Record last updated: 21 Mar 2017

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.