Metamorphosis Salt Lake City, Inc
Metamorphosis Salt Lake City, Inc is a Methadone Clinic in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2008.
- Licensed in
- UT
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
339 E 3900 S Ste 101Salt Lake City, UT 84107-1677
Phone: (801) 261-5790
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Methadone Clinic (primary) | Taxonomy 261QM2800X · Licence 5863251-8913 (UT) |
|---|
Record details
| NPI number | 1346495298 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Costley — Chief Operating Office · (801) 261-5790 |
| NPI enumerated | November 19, 2008 |
| Last updated in NPPES | November 19, 2008 |
| Mailing address | 339 E 3900 S, Suite 101, Salt Lake City, UT 84107-1677 |
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