Voyage Rtc Bllc
NPI #1265184923 in South Ogden, Utah
Provider Information
- NPI Number
- 1265184923
- Entity Type
- Organization
- Organization Name
- Voyage Rtc Bllc
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 24, 2022
- Last Updated
- Jan 24, 2022
Practice Location
- Address
- 5545 S 1225 E
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84403-4522
- Phone
- (801) 820-0158
Authorized Official
- Name
- LAWRENCE MERLIN BOHNE III
- Title
- EXECUTIVE DIRECTOR
- Phone
- (801) 820-0158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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