NPI | 1285113472 |
---|---|
Other Name | NORTH STAR DAY TREATMENT |
Other Name | NORTH STAR TREATMENT CENTER |
Doing Business As | OUTPATIENT INTROSPECTION CENTER |
Entity Type | Organization |
Authorized Contact | JANETTE HAWS AHQUIN Manager 435-229-4889 |
Organization Subpart ? | Yes |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 39297) |
Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: UT 63460) |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
343900000X Non-emergency Medical Transport (VAN) | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: UT 51933) | |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-12-13 |