Organization · Type 2 NPI
Telos
Mental Illness Community Based Residential Treatment Facility · Orem, UT
NPI number
1629513833
Active
Practice location
661 S 1200 W
Orem, UT 84058-5817
Mailing address
870 W Center St
Orem, UT 84057-5202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 5079969-3501 (UT) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1629513833
Telos's National Provider Identifier is 1629513833, issued on Dec 23, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Orem, UT. The record was last updated on Dec 23, 2016.