PRINCE GBEADEH

TAYLORSVILLE, UT
NPI1598260937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-03-28
Last Update Date2018-03-28
Business Address
PRINCE GBEADEH
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 801-963-4360
Mailing Address
PRINCE GBEADEH
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: