| Box Elder Mental Health | |
|
791 N 2300 W Tremonton UT 84337-9331 | |
| (801) 910-9412 | |
| Not Available |
| Full Name | Box Elder Mental Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 791 N 2300 W, Tremonton, Utah |
| Authorized Official Name and Position | Brock S Howick (OWNER) |
| Authorized Official Contact | 8019109412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Box Elder Mental Health 791 N 2300 W Tremonton UT 84337-9331 Ph: (801) 910-9412 | Box Elder Mental Health 791 N 2300 W Tremonton UT 84337-9331 Ph: (801) 910-9412 |
| NPI Number | 1265263818 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265263818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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