NPI 1629513833

Telos

Organisation Mental Illness Community Based Residential Treatment Facility Orem, UT

Practice location

Address: 661 S 1200 W, Orem, UT 84058-5817
Phone: (801) 921-9726
Mailing address: 870 W Center St, Orem, UT 84057-5202

Authorised official

Name: Craig Lamont
Title: Ceo
Phone: (801) 426-8800

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 5079969-3501 (UT)

Other Community Based Residential Treatment Facility, Mental Illness providers in Utah →

Registry record

NPI: 1629513833
Entity type: Organization
NPI issued: 23 Dec 2016
Record last updated: 23 Dec 2016

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.