Summit Clinical Services of Utah LLC
NPI #1356744791 in West Jordan, Utah
Provider Information
- NPI Number
- 1356744791
- Entity Type
- Organization
- Organization Name
- Summit Clinical Services of Utah LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 30, 2014
- Last Updated
- Feb 26, 2021
Practice Location
- Address
- 1561 W 7000 S STE 200
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-3556
- Phone
- (801) 263-0717
Authorized Official
- Name
- MR. CHRIS C HAKES, LCSW
- Title
- OWNER
- Phone
- (801) 414-3252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner - Family — Family |
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