Organization
UTAH COUNTY DIVISION OF SUBSTANCE ABUSE
Active
Other names
Foothill Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLU RYAN ROBINSON LSAC, CPCI (PRIMARY THERAPIST)
(801) 851-7114
Entity
Organization
Contact information
Practice address
151 S UNIVERSITY AVE, PROVO, UT 84601-4427
(801) 851-7114
Mailing address
151 S UNIVERSITY AVE, PROVO, UT 84601-4427
(801) 851-7114
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
UT
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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