Metamorphosis Ogden, Inc.

NPI #1295804110 in Ogden, Utah

Provider Information

NPI Number
1295804110
Entity Type
Organization
Organization Name
Metamorphosis Ogden, Inc.
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Nov 7, 2006
Last Updated
Aug 6, 2015

Practice Location

Address
2144 WASHINGTON BLVD
City
Ogden
State
Utah
ZIP Code
84401-1420
Phone
(801) 622-5272

Authorized Official

Name
MS. SHANNON M. TERWEDO, M.P.A., FACHE
Title
PRESIDENT
Phone
(801) 622-5272

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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