# WASATCH MENTAL HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003243940
- **Authorized official:** KYLE BRINGHURST (MANAGEMENT DIRECTOR)
- **Authorized official phone:** (801) 310-4903

## Contact information

- **Practice address:** 750 N FREEDOM BLVD, PROVO, UT 84601-1677
- **Practice address phone:** (801) 373-4760
- **Mailing address:** 760 N 800 E, \#102, PROVO, UT 84606-6915
- **Mailing address phone:** (801) 694-9228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2013
- **Last updated:** 10/10/2013