Bryan Holder

NPI #1336556638 in Moroni, Utah

Provider Information

NPI Number
1336556638
Entity Type
Individual
Name
Bryan Holder
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jul 18, 2014
Last Updated
Jul 18, 2014

Practice Location

Address
21360 N 1460 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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