Provider First Line Business Practice Location Address: 
THE OCD AND ANXIETY TREATMENT CENTER
    Provider Second Line Business Practice Location Address: 
1459 N MAIN ST #100
    Provider Business Practice Location Address City Name: 
BOUNTIFUL
    Provider Business Practice Location Address State Name: 
UT
    Provider Business Practice Location Address Postal Code: 
84010
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
801-298-2000
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
10/13/2022