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Organization
TRISTAN INC.
Active
Organization
TRISTAN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY HELEN BANKS (CO-OWNER/CO-DIRECTOR)
(801) 479-3762
Entity
Organization
Contact information
Practice address
1140 36TH ST, OGDEN, UT 84403-2050
(801) 392-0004
Mailing address
5203 AZTEC DR, OGDEN, UT 84403-4608
(801) 479-3764
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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