NPI 1003243940

Wasatch Mental Health

Organisation Adolescent and Children Mental Health Clinic/Center Provo, UT

Practice location

Address: 750 N Freedom Blvd, Provo, UT 84601-1677
Phone: (801) 373-4760
Mailing address: 760 N 800 E #102, Provo, UT 84606-6915

Authorised official

Name: Kyle Bringhurst
Title: Management Director
Phone: (801) 310-4903

Registered specialties

Adolescent and Children Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0855X

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Registry record

NPI: 1003243940
Entity type: Organization
NPI issued: 10 Oct 2013
Record last updated: 10 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.