Individual provider · Type 1 NPI

Kallie Kay Madsen

Children's Substance Abuse Rehabilitation Facility · Ephraim, UT

NPI number 1649930801 Active

Practice location

66 N 180 W
Ephraim, UT 84627-2130

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.

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About NPI 1649930801

Kallie Kay Madsen's National Provider Identifier is 1649930801, issued on Dec 29, 2021. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Ephraim, UT. The record was last updated on Dec 29, 2021.