Whalio Doctors

NPI 1922323203

Catalyst Residential Treatment

Organisation Children's Substance Abuse Rehabilitation Facility Brigham City, UT

Practice location

Address
970 S 1025 W, Brigham City, UT 84302-6711
Phone
(435) 723-4600
Fax
(435) 723-4700

Authorised official

Name
Adam Malan Poll
Title
Clinical Director
Phone
(435) 723-4600

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 3245S0500X Licence 16063 (UT)

Registry record

NPI
1922323203
Entity type
Organization
NPI issued
30 Mar 2010
Record last updated
30 Mar 2010

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.