Anicka INC
NPI #1992346704 in South Salt Lake, Utah
Provider Information
- NPI Number
- 1992346704
- Entity Type
- Organization
- Organization Name
- Anicka INC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Oct 2, 2019
- Last Updated
- Oct 2, 2019
Practice Location
- Address
- 3195 SOUTH MAIN ST
- Address 2
- STE 260
- City
- South Salt Lake
- State
- Utah
- ZIP Code
- 84115
- Phone
- (385) 333-6403
Authorized Official
- Name
- CORINNE DALTON
- Title
- DIRECTOR
- Phone
- (801) 654-9391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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