Whalio Doctors

NPI 1508072703

Metro Treatment of Utah LP

Organisation Community/Behavioral Health Agency Logan, UT

Practice location

Address
1300 N 200 E Suite 104, Logan, UT 84341-2398
Phone
(435) 755-5915
Fax
(435) 775-5917
Mailing address
14050 Town Loop Blvd Suite 204, Orlando, FL 32837-6190

Authorised official

Name
Rodney Williams
Title
Cfo
Phone
(407) 351-7080

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 11675 (UT)
Clinic Pharmacy
Suppliers Taxonomy 3336C0002X Licence 5888583-1704 (UT)

Registry record

NPI
1508072703
Entity type
Organization
NPI issued
15 May 2007
Record last updated
25 Sep 2019

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.