Individual provider · Type 1 NPI

Justin Dean Jensen

Children's Substance Abuse Rehabilitation Facility · Brigham City, UT

NPI number 1407158835 Active

Practice location

82 S 800 W
Brigham City, UT 84302-2400

Call (435) 538-5061 Map

Mailing address

PO Box 526
Brigham City, UT 84302-0526

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

32 other providers at this address

About NPI 1407158835

Justin Dean Jensen's National Provider Identifier is 1407158835, issued on Nov 17, 2010. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Brigham City, UT. The record was last updated on Feb 16, 2011.