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Organization

HOUSE OF HOPE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA HEATON LCSW (EXECUTIVE)
(801) 487-3276
Entity
Organization

Contact information

Practice address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
(801) 375-9225
Mailing address
857 E 200 S, SALT LAKE CITY, UT 84102-2334
(801) 467-3725

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
11450
UT

Other

Enumeration date
02/26/2007
Last updated
02/10/2017
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