NPI 1174051072
Bridge House
Practice location
- Address
- 235 S 200 E, Farmington, UT 84025-2320
- Phone
- (801) 447-4865
- Fax
- (801) 713-4400
- Mailing address
- PO Box 1040, Farmington, UT 84025-1040
Authorised official
- Name
- Rodney Andrus
- Title
- Executive Director
- Phone
- (801) 447-4865
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1174051072
- Entity type
- Organization
- NPI issued
- 23 May 2017
- Record last updated
- 23 May 2017
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.