NPI 1134594286

Mountain Brook Outpatient

Organisation Substance Use Disorder Rehabilitation Clinic/Center Spanish Fork, UT

Practice location

Address: 14048 S. Highway 89, Spanish Fork, UT 84660-0361
Phone: (801) 873-3199
Fax: (801) 873-3507
Mailing address: PO Box 361, Spanish Fork, UT 84660-0361

Authorised official

Name: Brook Johnson
Title: Executive Director
Phone: (801) 228-8470

Registered specialties

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Utah →

Registry record

NPI: 1134594286
Entity type: Organization
NPI issued: 1 Dec 2015
Record last updated: 1 Dec 2015

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.