Organization
WASATCH MENTAL HEALTH
Active
Other names
WATCH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BUTLER LCSW (PROGRAM MANAGER, COMMUNITY SERIVES)
(801) 373-7394
Entity
Organization
Contact information
Practice address
299 E 900 S, PROVO, UT 84606-6107
(801) 852-3779
(801) 374-7304
Mailing address
299 E 900 S, PROVO, UT 84606-6107
(801) 852-3779
(801) 374-7304
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
09/29/2012
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