Curtis Bryant Blackham

NPI #1235425109 in Moroni, Utah

Provider Information

NPI Number
1235425109
Entity Type
Individual
Name
Curtis Bryant Blackham
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jun 20, 2011
Last Updated
Jun 20, 2011

Practice Location

Address
21260 N 1450 E
City
Moroni
State
Utah
ZIP Code
84646-0461
Phone
(435) 445-5200

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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