Intermountain Specialized Abuse Treatment Center

NPI #1962733931 in Provo, Utah

Provider Information

NPI Number: 1962733931
Entity Type: Organization
Organization Name: Intermountain Specialized Abuse Treatment Center
Primary Specialty: Community/Behavioral Health
Enumeration Date: Jan 14, 2010
Last Updated: Jan 14, 2010

Practice Location

Address: 1868 N 1120 W
City: Provo
State: Utah
ZIP Code: 84604-1179
Phone: (801) 373-0210

Authorized Official

Name: MR. CHRISTOPHER DAVID WESTOVER, LCSW
Title: CLINICAL DIRECTOR
Phone: (801) 373-0210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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