Individual provider · Type 1 NPI
Lorraine Michelle Ivey
Children's Substance Abuse Rehabilitation Facility · Washington, UT
Practice location
115 N 200 E
Washington, UT 84780-1642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | None 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.
About NPI 1952790099
Lorraine Michelle Ivey's National Provider Identifier is 1952790099, issued on Jan 13, 2015. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Washington, UT. The record was last updated on Jan 13, 2015.