Organization
BOX ELDER FAMILY SUPPORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY BONDS L.C.S.W. (DIRECTOR)
(435) 723-6010
Entity
Organization
Contact information
Practice address
276 N 200 E, BRIGHAM CITY, UT 84302-2137
(435) 723-6010
(435) 723-7539
Mailing address
276 N 200 E, BRIGHAM CITY, UT 84302-2137
(435) 723-6010
(435) 723-7539
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
18217
UT
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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