Homeward Bound Clinic

NPI #1093609315 in Alpine, Utah

Provider Information

NPI Number: 1093609315
Entity Type: Organization
Organization Name: Homeward Bound Clinic
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jun 3, 2025
Last Updated: Jul 31, 2025

Practice Location

Address: 395 S MAIN ST STE 202
City: Alpine
State: Utah
ZIP Code: 84004-2050
Phone: (719) 466-0940

Authorized Official

Name: MICHAEL BRUCE MCCONKIE
Title: CEO
Phone: (719) 466-0940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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