Matts Place

NPI #1396141784 in Centerville, Utah

Provider Information

NPI Number: 1396141784
Entity Type: Organization
Organization Name: Matts Place
Subpart: Yes (part of a larger organization)
Parent Organization: LIFE LONG SKILLS FOUNDATION
Primary Specialty: Clinic/Center
Enumeration Date: Nov 12, 2014
Last Updated: Nov 12, 2014

Practice Location

Address: 190 SOUTH MAIN STREET
City: Centerville
State: Utah
ZIP Code: 84014-2814
Phone: (801) 599-8333

Authorized Official

Name: SHERLENE T DEAN, MD
Title: FOUNDER
Phone: (801) 599-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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