NPI 1164669081

Intermountain Specialized Abuse Treatment Center (isat)

Organisation Community/Behavioral Health Agency Provo, UT

Practice location

Address: 1868 N 1120 W, Provo, UT 84604-1179
Phone: (801) 373-0210
Fax: (801) 373-0215

Authorised official

Name: Linda Kay Hafen
Title: Clinical Director
Phone: (801) 373-0210

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 271649-3501 (UT)

Other Community/Behavioral Health providers in Utah →

Registry record

NPI: 1164669081
Entity type: Organization
NPI issued: 14 Jan 2009
Record last updated: 14 Jan 2009

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.