Organization
OUTBACK THERAPEUTIC EXPEDITIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ALLEN LOWE PH.D. (FAMILY THERAPIST)
(801) 766-3933
Entity
Organization
Contact information
Practice address
50 N 200 E, LEHI, UT 84043-1835
(801) 766-3933
Mailing address
462 S 500 E, SANTAQUIN, UT 84655-8125
(801) 754-5311
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
344193-3902
UT
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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