Organization
FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH INC
Active
Parent organization
FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH INC
Other names
Operation Recovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH INC
Authorized official
JEANIE WILLSON (CFO)
(435) 637-7200
Entity
Organization
Contact information
Practice address
77 S 600 E, PRICE, UT 84501-3174
(435) 637-7289
Mailing address
PO BOX 867, PRICE, UT 84501-0867
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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