NPI 1023369493
Wasatch Mental Health
Practice location
- Address
- 299 E 900 S, Provo, UT 84606-6107
- Phone
- (801) 852-3779
- Fax
- (801) 374-7304
Authorised official
- Name
- Brian Butler
- Title
- Program Manager, Community Serives
- Phone
- (801) 373-7394
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1023369493
- Entity type
- Organization
- NPI issued
- 26 Sep 2012
- Record last updated
- 29 Sep 2012
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.