# MT PLEASANT CAMPUS

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

## Provider details

- **NPI number:** 1477819878
- **Authorized official:** BRIAN PACE MA ED, MC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (435) 673-6111

## Contact information

- **Practice address:** 1170 SOUTH 70 WEST, MT. PLEASANT, UT 84647
- **Practice address phone:** (801) 899-4111
- **Mailing address:** 747 E SAINT GEORGE BLVD, SAINT GEORGE, UT 84770-3035
- **Mailing address phone:** (435) 673-6111
- **Mailing address fax:** (435) 673-0994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 18409 | UT | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | 18409 | UT | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | 18409 | UT | — |

## Other

- **Enumeration date:** 04/10/2012
- **Last updated:** 06/24/2015