Organization · Type 2 NPI
Mountain Brook Outpatient
Substance Use Disorder Rehabilitation Clinic/Center · Spanish Fork, UT
NPI number
1134594286
Active
Practice location
14048 S. Highway 89
Spanish Fork, UT 84660-0361
Fax (801) 873-3507
Mailing address
PO Box 361
Spanish Fork, UT 84660-0361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Other substance use disorder rehabilitation clinic/center providers in Spanish Fork
About NPI 1134594286
Mountain Brook Outpatient's National Provider Identifier is 1134594286, issued on Dec 1, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Spanish Fork, UT. The record was last updated on Dec 1, 2015.