NPI 1154772796

Affinity Guidance Services INC

Organisation Mental Illness Community Based Residential Treatment Facility Provo, UT

Practice location

Address: 1971 N State St, Provo, UT 84604-1012
Phone: (435) 830-6945
Fax: (435) 578-0700

Authorised official

Name: Bradley J Neufeld
Title: President
Phone: (435) 830-6945

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 21366 (UT)

Other Community Based Residential Treatment Facility, Mental Illness providers in Utah →

Registry record

NPI: 1154772796
Entity type: Organization
NPI issued: 24 Jun 2016
Record last updated: 27 Oct 2016

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.