Organization · Type 2 NPI

Intermountain Specialized Abuse Treatment Center

Community/Behavioral Health Agency · Provo, UT

NPI number 1962733931 Active

Practice location

1868 N 1120 W
Provo, UT 84604-1179

Call (801) 373-0210 Map

Fax (801) 373-0215

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X6615379-3501 (UT)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

4 other providers at this address

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About NPI 1962733931

Intermountain Specialized Abuse Treatment Center's National Provider Identifier is 1962733931, issued on Jan 14, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Provo, UT. The record was last updated on Jan 14, 2010.