Organization
TRIUMPH VOYAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE HUMPHRIES (PRESIDENT)
(435) 703-4867
Entity
Organization
Contact information
Practice address
58 S 950 W, BRIGHAM CITY, UT 84302-4424
(435) 703-4867
Mailing address
58 S 950 W, BRIGHAM CITY, UT 84302-4424
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/25/2012
Last updated
12/25/2012
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