Provider Demographics
NPI:1942506290
Name:CLINICAL METHODS LLC
Entity Type:Organization
Organization Name:CLINICAL METHODS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REID
Authorized Official - Middle Name:JUSTIN
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:801-230-5899
Mailing Address - Street 1:676 E VINE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5514
Mailing Address - Country:US
Mailing Address - Phone:801-290-5320
Mailing Address - Fax:801-290-5321
Practice Address - Street 1:676 E VINE ST STE 5
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-5514
Practice Address - Country:US
Practice Address - Phone:801-290-5320
Practice Address - Fax:801-290-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility