Wasatch Mental Health

NPI 1023369493 - Case Management - 251B00000X

NPI Details
NPI 1023369493
Enumeration Date 09/26/2012
Last Updated 09/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BRIAN BRIAN
Position PROGRAM MANAGER, COMMUNITY SERIVES
Phone (801) 852-3779
Fax (801) 374-7304
Practice Location
299 E 900 S
PROVO UT, 84606-6107, US
Phone (801) 852-3779
Fax (801) 374-7304
Business Location
299 E 900 S
PROVO UT, 84606-6107, US
Phone (801) 852-3779
Fax (801) 374-7304
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
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According to our database, Wasatch Mental Health NPI is 1023369493, taxonomy code is 251B00000X Wasatch Mental Health physically located at 299 E 900 S, Provo UT, 84606-6107. NPI Number 1033115704 has the healthcare provider type.

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1023369493 NPI number is provided on an as is basis without warranty of any kind. 1023369493 is maintained by the National Plan & Provider Enumeration System. The contents of Wasatch Mental Health are for informational purposes only.