Organization · NPI-2
Sycamore Mental Health
Clinic/Center, Mental Health (Including Community Mental Health Center) · Brigham City, UT
NPI number1497525125
StatusActive
Last updated in NPPESJan 3, 2024
Details
- NPI
- 1497525125
- Entity type
- Organization (NPI-2)
- Legal business name
- Sycamore Mental Health
- Organization subpart
- No
- Enumeration date
- Jan 3, 2024
- Certification date
- Jan 3, 2024
- Last updated
- Jan 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Sycamore Mental Health (Doing Business As)
Practice location
111 E Forest St Ste HBrigham City, UT 84302-2127
Phone 801-588-9538
Mailing address
669 S Appaloosa CirWillard, UT 84340-9629
Phone 801-588-9538
Authorized official
Joan C Rasmussen
Owner
8015889538
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