# MERIDIAN MENTORING

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

## Provider details

- **NPI number:** 1023560679
- **Authorized official:** MCKETTE H. ALLRED J.D. (CEO/OWNER)
- **Authorized official phone:** (801) 793-0976

## Contact information

- **Practice address:** 635 SOUTH MAIN ST., ORANGEVILLE, UT 84537
- **Practice address phone:** (801) 793-0976
- **Mailing address:** PO BOX 1263, HUNTINGTON, UT 84528-1263
- **Mailing address phone:** (801) 793-0976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | UT | Yes |

## Other

- **Enumeration date:** 10/31/2016
- **Last updated:** 10/31/2016
