De Novo Services LLC
NPI #1164794434 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1164794434
- Entity Type
- Organization
- Organization Name
- De Novo Services LLC
- Primary Specialty
- Pharmacy - Institutional Pharmacy
- Enumeration Date
- Feb 2, 2012
- Last Updated
- Aug 3, 2020
Practice Location
- Address
- 339 E 3900 S
- Address 2
- SUITE 155
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84107-1677
- Phone
- (801) 263-1056
Authorized Official
- Name
- JERRY COSTLEY
- Title
- DIRECTOR / OWNER
- Phone
- (801) 263-1056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Psychiatry & Neurology - Addiction Medicine — Addiction Medicine |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Pharmacy - Institutional Pharmacy — Institutional Pharmacy |
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