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Organization

HOUSE OF HOPE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENESE MCDONALD LCSW (CLINICAL THERAPIST)
(801) 373-6562
Entity
Organization

Contact information

Practice address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
(801) 375-9225
Mailing address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
(801) 375-9225

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
5883071-6006
UT
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
5883071-6009
UT

Other

Enumeration date
02/21/2013
Last updated
02/21/2013
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