Individual provider · Type 1 NPI

Bryant Davis

Substance Abuse Rehabilitation Facility · Moroni, UT

NPI number 1932460102 Active

Practice location

21360 North 1450 East
Moroni, UT 84646

Call (435) 445-5200 Map

Mailing address

P.o. Box 461, 21360 North 1450 East
Moroni, UT 84646

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X272503815 (UT)

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.

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About NPI 1932460102

Bryant Davis's National Provider Identifier is 1932460102, issued on Jun 5, 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 Jun 5, 2012.