NPI 1598017923
Provo House of Hope
Practice location
- Address
- 1726 Buckley Ln, Provo, UT 84606-5031
- Phone
- (801) 373-6562
Authorised official
- Name
- Darrell Nobel
- Title
- Program Director
- Phone
- (801) 373-6562
Registered specialties
Children's Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1598017923
- Entity type
- Organization
- NPI issued
- 9 Oct 2012
- Record last updated
- 9 Oct 2012
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.