NPI 1558676239

Behavioral Mental Health Services, PC

Organisation Community/Behavioral Health Agency Logan, UT

Practice location

Address: 40 W Cache Valley Blvd STE 10a, Logan, UT 84341-8450
Phone: (435) 787-2272
Fax: (435) 713-4001

Authorised official

Name: A Todd Freestone
Title: Clinical Director
Phone: (435) 787-2272

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 15984 (UT)

Other Community/Behavioral Health providers in Utah →

Registry record

NPI: 1558676239
Entity type: Organization
NPI issued: 18 Aug 2010
Record last updated: 18 Aug 2010

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.