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Organization

COLBREN MANAGEMENT LLC

Active
Other names
Colbren Family Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRENT K DEMILLE LCSW (PRESIDENT/OWNER)
(435) 656-4515
Entity
Organization

Contact information

Practice address
1071 E 100 S, SUITE D3S, ST GEORGE, UT 84770-3070
(435) 656-4515
(435) 673-9178
Mailing address
1071 E 100 S, SUITE D3S, ST GEORGE, UT 84770-3070
(435) 656-4515
(435) 673-9178

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13428
UT

Other

Enumeration date
01/26/2008
Last updated
01/26/2008
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