Provo House of Hope

NPI #1598017923 in Provo, Utah

Provider Information

NPI Number: 1598017923
Entity Type: Organization
Organization Name: Provo House of Hope
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Oct 9, 2012
Last Updated: Oct 9, 2012

Practice Location

Address: 1726 BUCKLEY LN
City: Provo
State: Utah
ZIP Code: 84606-5031
Phone: (801) 373-6562

Authorized Official

Name: DARRELL NOBEL
Title: PROGRAM DIRECTOR
Phone: (801) 373-6562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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