Intermountain Specialized Abuse Treatment Center (isat)

NPI #1164669081 in Provo, Utah

Provider Information

NPI Number: 1164669081
Entity Type: Organization
Organization Name: Intermountain Specialized Abuse Treatment Center (isat)
Primary Specialty: Community/Behavioral Health
Enumeration Date: Jan 14, 2009
Last Updated: Jan 14, 2009

Practice Location

Address: 1868 N 1120 W
City: Provo
State: Utah
ZIP Code: 84604-1179
Phone: (801) 373-0210

Authorized Official

Name: MRS. LINDA KAY HAFEN, LCSW
Title: CLINICAL DIRECTOR
Phone: (801) 373-0210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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