Universal Health Systems

NPI #1255974085 in Provo, Utah

Provider Information

NPI Number: 1255974085
Entity Type: Organization
Organization Name: Universal Health Systems
Subpart: Yes (part of a larger organization)
Parent Organization: PROVO CANYON SCHOOL
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 24, 2019
Last Updated: Oct 24, 2019

Practice Location

Address: 4501 N UNIVERSITY AVE
City: Provo
State: Utah
ZIP Code: 84604-5504
Phone: (801) 932-6364

Authorized Official

Name: MAX AH QUIN, CMHC
Title: CLINICAL DIRECTOR
Phone: (801) 932-2544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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