Crossroads To Wellness LLC
Social Worker, Clinical in Springville, UT. Organization (NPI-2).
NPI number1679937585
StatusActive
Last updated in NPPESOct 20, 2016
Details
- NPI
- 1679937585
- Entity type
- Organization (NPI-2)
- Legal business name
- Crossroads To Wellness LLC
- Organization subpart
- No
- Enumeration date
- Apr 6, 2016
- Last updated
- Oct 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8273383-3501 | UT | Yes |
Practice location
1220 N Main StSuite 11
Springville, UT 84663-4013
Phone 801-888-5639
Mailing address
834 N 600 ESpringville, UT 84663-3105
Phone 801-888-5639
Authorized official
Bobbie Pugh
Owner
8018885639
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