# OUTBACK THERAPEUTIC EXPEDITIONS

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

## Provider details

- **NPI number:** 1699084228
- **Authorized official:** MS. JEANNINE THALMAN (OFFICE MANAGER)
- **Authorized official phone:** (801) 766-3933

## Contact information

- **Practice address:** 50 N 200 E, LEHI, UT 84043-1812
- **Practice address phone:** (801) 766-3933
- **Practice address fax:** (801) 766-3932
- **Mailing address:** 50 N 200 E, LEHI, UT 84043-1812
- **Mailing address phone:** (801) 766-3933
- **Mailing address fax:** (801) 766-3932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 17992 | UT | Yes |

## Other

- **Enumeration date:** 09/30/2010
- **Last updated:** 01/19/2012