NPI 1366574568
Kolob Canyon
Practice location
- Address
- 1338 East 600 South, New Harmony, UT 84757
- Phone
- (435) 865-1437
Authorised official
- Name
- Trudy Widup
- Title
- Business Office Manager
- Phone
- (435) 865-1437
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1366574568
- Entity type
- Organization
- NPI issued
- 12 Mar 2007
- Record last updated
- 22 Aug 2020
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.