Organization
AT THE CROSSROADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAUGHN HEATH PHD (CLINICAL DIRECTOR)
(801) 690-6247
Entity
Organization
Contact information
Practice address
139 NORTH 100 WEST, ST. GEORGE, UT 84770
(801) 690-6247
(435) 251-8067
Mailing address
PO BOX 377, WASHINGTON, UT 84780
(801) 690-6247
(435) 251-8067
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
9875
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8513
DEPARTMENT OF HUMAN SERVICES OFFICE OF LICENSING/DAY TREATMENT
UT
01
—
9875
DEPARTMENT OF HUMAN SERVICES OFFICE OF LICENSING/ OUTPATIENT TREATMENT
UT
Enumeration date
09/08/2014
Last updated
09/08/2014
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