Wasatch Mental Health

NPI #1003243940 in Provo, Utah

Provider Information

NPI Number: 1003243940
Entity Type: Organization
Organization Name: Wasatch Mental Health
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Oct 10, 2013
Last Updated: Oct 10, 2013

Practice Location

Address: 750 N FREEDOM BLVD
City: Provo
State: Utah
ZIP Code: 84601-1677
Phone: (801) 373-4760

Authorized Official

Name: KYLE BRINGHURST
Title: MANAGEMENT DIRECTOR
Phone: (801) 310-4903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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