Regenesys

NPI #1154714913 in Orem, Utah

Provider Information

NPI Number
1154714913
Entity Type
Organization
Organization Name
Regenesys
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 17, 2015
Last Updated
Mar 17, 2015

Practice Location

Address
1429 S 550 E
Address 2
#4
City
Orem
State
Utah
ZIP Code
84097-7793
Phone
(801) 410-1671

Authorized Official

Name
DR. RUSSELL GAEDE, PSYD, CMHC
Title
DIRECTOR
Phone
(801) 410-1671

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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