Organization
BONNEVILLE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK HOWICK CSW (DIRECTOR OF MENTAL HEALTH)
(435) 248-0373
Entity
Organization
Contact information
Practice address
134 W 1180 N STE 4, TOOELE, UT 84074-1483
(435) 248-0333
Mailing address
134 W 1180 N STE 4, TOOELE, UT 84074-1483
(435) 248-0333
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
2903
UT
Other
Enumeration date
10/18/2013
Last updated
11/15/2013
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