| Full Name | The Family Place |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1525 N 200 W, Logan, Utah |
| Authorized Official Name and Position | Laura Jane Seager (ERS) |
| Authorized Official Contact | 4359326275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Place Po Box 6055 Logan UT 84341-6055 Ph: (435) 752-8880 | The Family Place 1525 N 200 W Logan UT 84341 Ph: (435) 752-8880 |
| NPI Number | 1326336447 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326336447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 52887 (Utah) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 17942 (Utah) | Secondary |
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Gary P Sazama Phd Apc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 E 200 N, Suite O, Logan, UT 84321 Phone: 435-752-8010 | |
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