Individual provider · Type 1 NPI

Tyler Steven Poulson

Substance Abuse Rehabilitation Facility · Moroni, UT

NPI number 1902163678 Active

Practice location

21260 North 1450 East
Moroni, UT 84646

Call (435) 445-5200 Map

Fax (435) 445-5201

Mailing address

PO Box 461
Moroni, UT 84646-0461

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

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 individuals with disorders in the abuse of drugs, alcohol, and other substances.

6 other providers at this address

Other substance abuse rehabilitation facility providers in Moroni

See all in Moroni →

About NPI 1902163678

Tyler Steven Poulson's National Provider Identifier is 1902163678, issued on Apr 18, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Moroni, UT. The record was last updated on Apr 18, 2012.