Mountain Brook Outpatient

NPI #1134594286 in Spanish Fork, Utah

Provider Information

NPI Number
1134594286
Entity Type
Organization
Organization Name
Mountain Brook Outpatient
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Dec 1, 2015
Last Updated
Dec 1, 2015

Practice Location

Address
14048 S. HIGHWAY 89
State
Utah
ZIP Code
84660-0361
Phone
(801) 873-3199

Authorized Official

Name
BROOK JOHNSON
Title
EXECUTIVE DIRECTOR
Phone
(801) 228-8470

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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