Awakening Behavioral Health, LLC
NPI #1619412046 in Bluffdale, Utah
Provider Information
- NPI Number
- 1619412046
- Entity Type
- Organization
- Organization Name
- Awakening Behavioral Health, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AWAKENING BEHAVIORAL HEALTH, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Dec 20, 2016
- Last Updated
- Mar 30, 2020
Practice Location
Authorized Official
- Name
- KERRYLYNN BACA-PELPHREY
- Title
- CCO, EXEC DIR PAYOR RELATIONS
- Phone
- (801) 658-9646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
| Substance Abuse Rehabilitation Facility |
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