NPI 1619412046
Awakening Behavioral Health, LLC
Practice location
- Address
- 2973 W 13800 S, Bluffdale, UT 84065-8202
- Phone
- (801) 545-0406
Authorised official
- Name
- Kerrylynn Baca-Pelphrey
- Title
- Cco, Exec Dir Payor Relations
- Phone
- (801) 658-9646
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Psychiatric Residential Treatment Facility
Registry record
- NPI
- 1619412046
- Entity type
- Organization
- NPI issued
- 20 Dec 2016
- Record last updated
- 30 Mar 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.