Basic Information
| Provider Information | |||||||||
| NPI: | 1720201023 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | WEBER HUMAN SERVICES | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 2689 N 650 E | ||||||||
| Address2: | |||||||||
| City: | NORTH OGDEN | ||||||||
| State: | UT | ||||||||
| PostalCode: | 844142318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8016861069 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2689 N 650 E | ||||||||
| Address2: | |||||||||
| City: | NORTH OGDEN | ||||||||
| State: | UT | ||||||||
| PostalCode: | 844142318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8016253700 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | MORRIL | ||||||||
| AuthorizedOfficialFirstName: | HAROLD | ||||||||
| AuthorizedOfficialMiddleName: | L, | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECITIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8016253700 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | 261232-3503 | UT | Y | Agencies | Case Management |
No ID Information.