Intermountain Specialized Abuse Treatment Center (isat)

NPI 1164669081 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1164669081
Enumeration Date 01/14/2009
Last Updated 01/14/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LINDA KAY LINDA
Position CLINICAL DIRECTOR
Phone (801) 373-0210
Fax (801) 373-0215
Practice Location
1868 N 1120 W
PROVO UT, 84604-1179, US
Phone (801) 373-0210
Fax (801) 373-0215
Business Location
1868 N 1120 W
PROVO UT, 84604-1179, US
Phone (801) 373-0210
Fax (801) 373-0215
Toxanomy
Taxonomy Code 251S00000X
License State Utah
License Number 271649-3501
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According to our database, Intermountain Specialized Abuse Treatment Center (isat) NPI is 1164669081, taxonomy code is 251S00000X and license number is 271649-3501, license state is located at Utah. Intermountain Specialized Abuse Treatment Center (isat) physically located at 1868 N 1120 W, Provo UT, 84604-1179. NPI Number 1033115704 has the healthcare provider type.

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1164669081 NPI number is provided on an as is basis without warranty of any kind. 1164669081 is maintained by the National Plan & Provider Enumeration System. The contents of Intermountain Specialized Abuse Treatment Center (isat) are for informational purposes only.