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Organization
DYBREAK BEHAVIORAL HEALTHCARE
Active
Organization
DYBREAK BEHAVIORAL HEALTHCARE
Active
Other names
Daybreak Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STAN FILLMORE LCSW (BUSINESS ADMINISTRATOR)
(801) 451-4843
Entity
Organization
Contact information
Practice address
117 WEST 200 SOUTH, FARMINGTON, UT 84025-1036
(801) 451-4843
(801) 451-2839
Mailing address
PO BOX 1036, 117 WEST 200 SOUTH, FARMINGTON, UT 84025-1036
(801) 451-4843
(801) 451-2839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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