Intermountain Specialized Abuse Treatment Center
Intermountain Specialized Abuse Treatment Center is a Community/Behavioral Health Agency in Provo, Utah. Licensed in Utah. Registered with an NPI since 2010.
- Licensed in
- UT
- In the registry since
- 2010
Practice location Address checks out
1868 N 1120 WProvo, UT 84604-1179
Phone: (801) 373-0210
Fax: (801) 373-0215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 6615379-3501 (UT) |
|---|
Record details
| NPI number | 1962733931 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Westover — Clinical Director · (801) 373-0210 |
| NPI enumerated | January 14, 2010 |
| Last updated in NPPES | January 14, 2010 |
| Mailing address | 1868 N 1120 W, Provo, UT 84604-1179 |
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