Life Enhancement Center
Life Enhancement Center is a Community/Behavioral Health Agency in Provo, Utah. Licensed in Utah. Registered with an NPI since 2008.
- Licensed in
- UT
- In the registry since
- 2008
Practice location Address checks out
1835 N 1120 WProvo, UT 84604-1180
Phone: (801) 623-4770
Fax: (801) 623-4771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 6332186-0142 (UT) |
|---|
Record details
| NPI number | 1083876734 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Gaede — Executive Director · (801) 623-4770 |
| NPI enumerated | June 25, 2008 |
| Last updated in NPPES | June 25, 2008 |
| Mailing address | 1835 N 1120 W, Provo, UT 84604-1180 |
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