Jwalker Intensive Outpatient

NPI #1750020855 in Orem, Utah

Provider Information

NPI Number: 1750020855
Entity Type: Organization
Organization Name: Jwalker Intensive Outpatient
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: May 27, 2022
Last Updated: May 27, 2022

Practice Location

Address: 503 E 770 N
City: Orem
State: Utah
ZIP Code: 84097-4102
Phone: (801) 893-0388

Authorized Official

Name: MS. MALLORY MARIE BOWEN
Title: OWNER
Phone: (801) 420-3117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Substance Abuse Rehabilitation Facility	324500000X	Primary

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