NPI | 1457617409 |
---|---|
Doing Business As | PROVO CANYON BEHAVIORAL HOSPITAL |
Entity Type | Organization |
Authorized Contact | STEVE FILTON CFO/SVP 610-768-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: UT 2012-HOSP-103338) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2023-05-23 |