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Substance Use Disorder Rehabilitation Clinic/Center · PROVO, UT

Organization Active NPI 1700379369

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Substance Use Disorder Rehabilitation Clinic/Center261QR0405X
Clinical Social Worker1041C0700X8653220-3501UT

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.