Whalio Doctors

NPI 1033606298

Imperial Healing Estate

Organisation Psychiatric Residential Treatment Facility Provo, UT

Practice location

Address
4194 Imperial Way, Provo, UT 84604-5328
Phone
(385) 312-0352
Mailing address
1561 W Aspen Trail Dr, Bluffdale, UT 84065-5183

Authorised official

Name
Lorna Burr
Title
Owner
Phone
(801) 598-7765

Registered specialties (4)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI
1033606298
Entity type
Organization
NPI issued
13 Apr 2018
Record last updated
30 Sep 2019

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.