Organization
RITE OF PASSAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BROMAN (CEO)
(775) 267-9411
Entity
Organization
Contact information
Practice address
862 S MAIN ST STE 4, BRIGHAM CITY, UT 84302-3389
(775) 392-2657
(775) 392-2544
Mailing address
862 S MAIN ST STE 4, BRIGHAM CITY, UT 84302-3389
(775) 392-2657
(775) 392-2544
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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