Organization · Type 2 NPI
Bonneville Mental Health, PLLC
Substance Use Disorder Rehabilitation Clinic/Center · Tooele, UT
NPI number
1902236458
Active
Practice location
134 W 1180 N Ste 4
Tooele, UT 84074-1483
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 2903 (UT) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 2903 (UT) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
3 other providers at this address
Other substance use disorder rehabilitation clinic/center providers in Tooele
About NPI 1902236458
Bonneville Mental Health, PLLC's National Provider Identifier is 1902236458, issued on Nov 20, 2013. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Tooele, UT. The record was last updated on May 10, 2016.