Wasatch Behavioral Health Special Service District in Provo - Rehabilitation, Substance Use Disorder
Wasatch Behavioral Health Special Service District - NPI 1356357115
Wasatch Behavioral Health Special Service District is a Rehabilitation, Substance Use Disorder in Provo, Utah. Wasatch Behavioral Health Special Service District practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Wasatch Behavioral Health Special Service District is 1356357115. The last update date is 2021-04-30.
Wasatch Behavioral Health Special Service District's current location address is 750 N Freedom Blvd, Provo, Utah. You can contact this provider via phone number 8013734760 and fax number 8013730639. The mailing address for Wasatch Behavioral Health Special Service District is 750 N Freedom Blvd, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wasatch Behavioral Health Special Service District |
|---|---|
| Address | 750 N Freedom Blvd, Provo, Utah |
| Phone Number | 8013734760 |
| Fax Number | 8013730639 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Williams Doran |
| Credentials | LCSW |
| Telephone Number | 8013734760 |
NPI Number Detail
| NPI Number | 1356357115 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2021-04-30 |
Provider Mailing Address Detail
| Address | 750 N Freedom Blvd |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 84601 |
| Phone Number | 8013734760 |
| Fax Number | 8013730639 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870285565012 | UT | -- |
Post Comment/ Review Below
What is the Wasatch Behavioral Health Special Service District's 1356357115?
The Wasatch Behavioral Health Special Service District's NPI (National Provider Identifier) Number is 1356357115. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Wasatch Behavioral Health Special Service District's facilities are geographically located?
The facilities of Wasatch Behavioral Health Special Service District are physically situated at the following location: 750 N Freedom Blvd, Provo, UT, 84601.
What is the area of specialization for Wasatch Behavioral Health Special Service District, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wasatch Behavioral Health Special Service District is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr0405X.
On what date did Wasatch Behavioral Health Special Service District receive its 1356357115 assignment from the Centers for Medicare & Medicaid Services?
The Wasatch Behavioral Health Special Service District was assigned its 1356357115 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Wasatch Behavioral Health Special Service District most recently updated or revised?
The details related to Wasatch Behavioral Health Special Service District, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-30.