Second Nature Entrada Llc in Santa Clara - Adolescent And Children Mental Health
Second Nature Entrada Llc - NPI 1063692804
Second Nature Entrada Llc is a Adolescent And Children Mental Health in Santa Clara, Utah. Second Nature Entrada Llc practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Second Nature Entrada Llc is 1063692804. The last update date is 2007-11-09.
Second Nature Entrada Llc's current location address is 2711 Santa Clara Dr, Santa Clara, Utah. You can contact this provider via phone number 4356749310 and fax number 4356749309. The mailing address for Second Nature Entrada Llc is 2711 Santa Clara Dr, Santa Clara, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Second Nature Entrada Llc |
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Address | 2711 Santa Clara Dr, Santa Clara, Utah |
Phone Number | 4356749310 |
Fax Number | 4356749309 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Heizer L Rick |
Credentials | MS |
Telephone Number | 4356749310 |
NPI Number Detail
NPI Number | 1063692804 |
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Provider Enumeration Date | 2007-11-09 |
Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
Address | 2711 Santa Clara Dr |
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City | Santa Clara |
State | Utah (UT) |
Post Code | 847655466 |
Phone Number | 4356749310 |
Fax Number | 4356749309 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent And Children Mental Health |
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Taxonomy | 261Qm0855X |
Licence No | 12776 |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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What is the unique 10-digit identifier code issued to Second Nature Entrada Llc by the Centers for Medicare & Medicaid Services?
The Second Nature Entrada Llc has been assigned the NPI (National Provider Identifier) 1063692804 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Second Nature Entrada Llc is physically located?
The Second Nature Entrada Llc is situated at the following address: 2711 Santa Clara Dr, Santa Clara, UT 847655466.
What is Second Nature Entrada Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Second Nature Entrada Llc is Adolescent And Children Mental Health, and the taxonomy classification code that categorizes this area of expertise is 261Qm0855X.
When did the Second Nature Entrada Llc receive its 1063692804?
The Second Nature Entrada Llc was issued its 1063692804 on 2007-11-09, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Second Nature Entrada Llc most recently updated or revised?
The details related to Second Nature Entrada Llc, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-09.