Provider Demographics
NPI:1477335644
Name:AFFORDABLE TREATMENT P-LLC
Entity Type:Organization
Organization Name:AFFORDABLE TREATMENT P-LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMHC
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-721-8632
Mailing Address - Street 1:70 S 1600 W
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:UT
Mailing Address - Zip Code:84015-8092
Mailing Address - Country:US
Mailing Address - Phone:801-721-8632
Mailing Address - Fax:
Practice Address - Street 1:70 S 1600 W
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:UT
Practice Address - Zip Code:84015-8092
Practice Address - Country:US
Practice Address - Phone:801-721-8632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)