Owen Luke Service

NPI #1063144038 in Salt Lake City, Utah

Provider Information

NPI Number
1063144038
Entity Type
Individual
Name
Owen Luke Service
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jun 28, 2022
Last Updated
Jun 28, 2022

Practice Location

Address
344 E 100 S STE 301
State
Utah
ZIP Code
84111-1727
Phone
(801) 428-4257

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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