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Organization
VOYAGE RTC BLLC
Active
Organization
VOYAGE RTC BLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE MERLIN BOHNE III (EXECUTIVE DIRECTOR)
(801) 820-0158
Entity
Organization
Contact information
Practice address
5545 S 1225 E, SOUTH OGDEN, UT 84403-4522
(801) 820-0158
Mailing address
5545 S 1225 E, SOUTH OGDEN, UT 84403-4522
(801) 820-0158
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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