STATE OF UTAH

PROVO, UT
NPI1811978620
Entity TypeOrganization
Authorized ContactDALLAS EARNSHAW
Superintendent
801-344-4200
Organization Subpart ?No
Primary Taxonomy283Q00000X Psychiatric Hospital
Enumeration Date2005-11-09
Last Update Date2020-06-11
Business Address
STATE OF UTAH
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4215
Mailing Address
STATE OF UTAH
PO BOX 270
PROVO, UT 84603-0270
Phone number: 801-344-4400
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