OrganizationActive
Kick the Habit Addiction Medicine, LLC
NPI 1780154195 · Medical Specialty Clinic/Center · American Fork, UT
Provider details
- NPI number
- 1780154195
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Bush, Ceo(949) 237-2874
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
74 S 360 E
American Fork, UT 84003-2590
Phone: (949) 237-2874
Fax: (844) 240-9439
Approximate (ZIP-level) locationGet directions
Mailing address
74 S 360 E
American Fork, UT 84003-2590
Registry dates
- Enumerated
- 2018-11-28
- Last updated
- 2019-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.