| NPI | Name | Type | Address |
|---|---|---|---|
|
UNLICENSED PROVIDER Deaun Larson Holdaway |
Individual |
265 N State St Mount Pleasant, UT |
|
|
MR. CPSS Richard Pratt Heilbut |
Individual |
265 N State St Mount Pleasant, UT |
|
|
CASE MANAGER Wendy Elizabeth Lamb |
Individual |
265 N State St Mount Pleasant, UT |
|
|
CASE MANAGEMENT Dakota Ellett |
Individual |
265 N State St Mount Pleasant, UT |
|
|
Clinton Samuel White |
Individual |
265 N State St Mount Pleasant, UT |
|
|
CM Marvon Shane Holdaway |
Individual |
265 N State St Mount Pleasant, UT |
|
|
Cindy Kay Hansen |
Individual |
265 N State St Mount Pleasant, UT |
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 261QR0405X |
| Specialization | Rehabilitation, Substance Use Disorder |
| Display Name | Substance Use Disorder Rehabilitation Clinic/Center |
| Taxonomy Group | Ambulatory Health Care Facilities |
| Taxonomy Classification | Clinic/Center |
| Definition | Definition to come... |
| Effective Date | September 30, 2009 |