Organization · Type 2 NPI
Homerun Crisis Intervention Services LLC
Health Service Clinic/Center · Nibley, UT
NPI number
1407529720
Active
Practice location
205 Quarter Cir
Nibley, UT 84321-6317
Mailing address
PO Box 437
Hyrum, UT 84319-0437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | None listed |
| Case Management Registered Nurse | 163WC0400X | None listed |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | None listed |
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1407529720
Homerun Crisis Intervention Services LLC's National Provider Identifier is 1407529720, issued on Aug 2, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Nibley, UT. The record was last updated on Aug 2, 2021.