NPI 1619228327

Ashley Valley Wilderness INC

Organisation Community/Behavioral Health Agency Vernal, UT

Practice location

Address: 247 S Vernal Ave, Vernal, UT 84078-3233
Phone: (435) 781-2450
Fax: (435) 781-2442

Authorised official

Name: Isaac Wallace
Title: Executive Director
Phone: (435) 781-2450

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 1514781 (CO)

Other Community/Behavioral Health providers in Utah →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 19546 (UT)

Registry record

NPI: 1619228327
Entity type: Organization
NPI issued: 21 Sep 2012
Record last updated: 21 Sep 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.