NPI 1215473699
Rite of Passage, INC
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
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.