Second Nature Entrada LLC
NPI #1063692804 in Santa Clara, Utah
Provider Information
- NPI Number
- 1063692804
- Entity Type
- Organization
- Organization Name
- Second Nature Entrada LLC
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Nov 9, 2007
- Last Updated
- Nov 9, 2007
Practice Location
- Address
- 2711 SANTA CLARA DR
- Address 2
- SUITE 200
- City
- Santa Clara
- State
- Utah
- ZIP Code
- 84765-5466
- Phone
- (435) 674-9310
Authorized Official
- Name
- MR. RICK L HEIZER, MS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (435) 674-9310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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