Kallie Kay Madsen
NPI #1649930801 in Ephraim, Utah
Provider Information
- NPI Number
- 1649930801
- Entity Type
- Individual
- Name
- Kallie Kay Madsen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
- Enumeration Date
- Dec 29, 2021
- Last Updated
- Dec 29, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children |
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| Northstar Youth Academy LLC | |
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