NPI 1346679396

Fresh Start Behavioral Services

Organisation Community/Behavioral Health Agency West Jordan, UT

Practice location

Address: 8841 S Redwood Rd STE D1, West Jordan, UT 84088-9290
Phone: (801) 566-2468
Fax: (855) 787-6818

Authorised official

Name: Lane Cannon Porter
Title: Director
Phone: (801) 566-2468

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 2885

Other Community/Behavioral Health providers in Utah →

Registry record

NPI: 1346679396
Entity type: Organization
NPI issued: 9 Nov 2013
Record last updated: 9 Nov 2013

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.