Metamorphosis Salt Lake City, Inc.

LBN: Metamorphosis Salt Lake City, Inc.
Metamorphosis Salt Lake City, Inc. is an health care organization with primary practice located at 339 E 3900 S Suite 101, Salt Lake City UT 84107-1677. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Metamorphosis Salt Lake City, Inc. can be contacted via phone (801) 261-5790, or through Costley, Jerry via phone (801) 261-5790.

Contact Information

Primary practice address
339 E 3900 S Suite 101 Salt Lake City UT 84107-1677
Phone: (801) 261-5790
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Costley, Jerry
Phone: (801) 261-5790

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 5863251-8913 Utah

Profile Details

NPI number 1346495298
LBN Legal business name Metamorphosis Salt Lake City, Inc.
DBA Doing business as
Authorized official Costley, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2008
Last updated Nov 19th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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