NPI 1356357115
Wasatch Behavioral Health Special Service District
Practice location
- Address
- 750 N Freedom Blvd Suite 300, Provo, UT 84601
- Phone
- (801) 373-4760
- Fax
- (801) 373-0639
Authorised official
- Name
- Doran Williams
- Title
- Associate Directore
- Phone
- (801) 373-4760
Registered specialties (5)
Community/Behavioral Health Agency
Primary
Mental Health Counselor
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health Clinic/Center (Including Community Mental Health Center)
Substance Use Disorder Rehabilitation Clinic/Center
Registry record
- NPI
- 1356357115
- Entity type
- Organization
- NPI issued
- 1 Aug 2006
- Record last updated
- 30 Apr 2021
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.