Whalio Doctors

NPI 1124364922

Triumph Voyage, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Brigham City, UT

Practice location

Address
58 S 950 W, Brigham City, UT 84302-4424
Phone
(435) 703-4867

Authorised official

Name
Bruce Humphries
Title
President
Phone
(435) 703-4867

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X
Foster Care Agency
Agencies Taxonomy 253J00000X

Registry record

NPI
1124364922
Entity type
Organization
NPI issued
25 Dec 2012
Record last updated
25 Dec 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.