| Wasatch Mental Health | |
|
750 N Freedom Blvd Provo UT 84601-1677 | |
| (801) 373-4760 | |
| Not Available |
| Full Name | Wasatch Mental Health |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 750 N Freedom Blvd, Provo, Utah |
| Authorized Official Name and Position | Kyle Bringhurst (MANAGEMENT DIRECTOR) |
| Authorized Official Contact | 8013104903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Mental Health 760 N 800 E #102 Provo UT 84606-6915 Ph: (801) 694-9228 | Wasatch Mental Health 750 N Freedom Blvd Provo UT 84601-1677 Ph: (801) 373-4760 |
| NPI Number | 1003243940 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003243940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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