Active Re Entry

NPI #1386786721 in Price, Utah

Provider Information

NPI Number: 1386786721
Entity Type: Organization
Organization Name: Active Re Entry
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Feb 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 10 SOUTH FAIRGROUNDS ROAD
City: Price
State: Utah
ZIP Code: 84501-2540
Phone: (435) 637-4950

Authorized Official

Name: NANCY P BENTLEY
Title: DIRECTOR
Phone: (435) 637-4950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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