NPI 1689691230

419 Medical Squadron

Organisation Substance Use Disorder Rehabilitation Hospital Unit Hill Afb, UT

Practice location

Address: 7311 11th St, Hill Afb, UT 84056-5012
Phone: (801) 777-2622
Mailing address: 3626 W 2000 N, West Point, UT 84015-7300

Authorised official

Name: Robert Atisme
Title: Mental Health Therapist
Phone: (801) 777-2622

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X Licence 06477 (IA)

Other Rehabilitation, Substance Use Disorder Unit providers in Utah →

Registry record

NPI: 1689691230
Entity type: Organization
NPI issued: 17 Jul 2006
Record last updated: 13 Jun 2008

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.