Lavallee Corporation

NPI #1134310956 in Ogden, Utah

Provider Information

NPI Number: 1134310956
Entity Type: Organization
Organization Name: Lavallee Corporation
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 6, 2007
Last Updated: Aug 6, 2007

Practice Location

Address: 121 COUNTRY CLUB DR
City: Ogden
State: Utah
ZIP Code: 84405-2704
Phone: (801) 695-0386

Authorized Official

Name: JEFFREY A LAVALLEE, LMFT
Title: CEO
Phone: (801) 695-0386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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