NPI Profile for WHITE TREE MEDICAL CONSULTANTS LLC in SOUTH JORDAN, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
163WA0400X | |||
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Intermediate Care, Mental Illness |
310500000X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1497204903 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/26/2016 | |
| Last updated | 08/27/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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