institution
Metamorphosis Salt Lake City, Inc.
Methadone Clinic in Salt Lake City, Utah
NPI 1346495298

Metamorphosis Salt Lake City, Inc. is a Methadone Clinic based in Salt Lake City, UT and is specialized in Methadone. Metamorphosis Salt Lake City, Inc. practices in Salt Lake City, UT. The NPI Number for Metamorphosis Salt Lake City, Inc. is 1346495298 and holds a License No. 5863251-8913 (Utah).

The current practice location address for Metamorphosis Salt Lake City, Inc. is 339 E 3900 S, Salt Lake City, UT and can be reached out via phone at 801-261-5790.

Location: 339 E 3900 S, Salt Lake City, UT, 84107-1677
institution
Provider Profile Details
NPI Number
1346495298
Provider Name
Metamorphosis Salt Lake City, Inc.
Credential
Provider Entity Type
Organization
Address
339 E 3900 S, Salt Lake City, UT, 84107-1677
Phone Number
801-261-5790
Fax Number
Provider Enumeration Date
11/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
339 E 3900 S
City
State
Zip
84107-1677
Phone Number
801-261-5790
Fax Number
person
Provider Business Mailing Address Details
Address
339 E 3900 S
City
State
Zip
84107-1677
Phone Number
801-261-5790
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
5863251-8913 (Utah)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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