Adolescent Center for Talent Development

NPI #1821309238 in Provo, Utah

Provider Information

NPI Number: 1821309238
Entity Type: Organization
Organization Name: Adolescent Center for Talent Development
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jun 30, 2010
Last Updated: Jun 30, 2010

Practice Location

Address: 633 S 550 E
Address 2: SUITE 220
City: Provo
State: Utah
ZIP Code: 84606-5556
Phone: (801) 687-1357

Authorized Official

Name: MR. JEREMY A JENSON
Title: BUSINESS DIRECTOR/OWNER
Phone: (801) 687-1357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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