One- Eighty Out LLC
NPI #1114517943 in S Salt Lake, Utah
Provider Information
- NPI Number
- 1114517943
- Entity Type
- Organization
- Organization Name
- One- Eighty Out LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 26, 2021
- Last Updated
- Sep 24, 2021
Practice Location
- Address
- 2872 S HIGHLAND DR
- City
- S Salt Lake
- State
- Utah
- ZIP Code
- 84106-3147
- Phone
- (801) 485-8051
Authorized Official
- Name
- BRITTANY RANDALL, LCSW
- Title
- OWNER
- Phone
- (801) 671-5990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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