Trevor Hansen

NPI #1699199935 in Moroni, Utah

Provider Information

NPI Number: 1699199935
Entity Type: Organization
Organization Name: Trevor Hansen
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Feb 6, 2014
Last Updated: Feb 6, 2014

Practice Location

Address: 21260 N. 1450 E.
City: Moroni
State: Utah
ZIP Code: 84646-0383
Phone: (435) 851-6821

Authorized Official

Name: PAUL BAILEY
Title: OWNER
Phone: (435) 851-6821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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