DANIEL BANELLIS

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1194087015

Practice Address

411 GRANT ST
Salt Lake City, UT 84116

Phone: (801) 359-8862

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes -

Frequently Asked Questions

NPI 1194087015 is the National Provider Identifier for DANIEL BANELLIS, a Substance Abuse Rehabilitation Facility provider located in Salt Lake City, UT. This NPI was enumerated on June 15, 2012.
DANIEL BANELLIS practices at 411 GRANT ST, Salt Lake City, UT 84116.

Quick Facts

NPI
1194087015
Type
Individual
Enumerated
Jun 15, 2012
Last Updated
Jun 15, 2012

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