Whalio Doctors

NPI 1215473699

Rite of Passage, INC

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

Practice location

Address
862 S Main St STE 4, Brigham City, UT 84302-3389
Phone
(775) 392-2657
Fax
(775) 392-2544

Authorised official

Name
James Broman
Title
Ceo
Phone
(775) 267-9411

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1215473699
Entity type
Organization
NPI issued
10 Jan 2017
Record last updated
10 Jan 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.