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Organization

DESERT SOLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRETT BLEAZARD (DIRECTOR)
(435) 668-6000
Entity
Organization

Contact information

Practice address
1239 W 4200 N, ST GEORGE, UT 84770-5982
(435) 703-3588
(888) 696-5589
Mailing address
1239 W 4200 N, ST GEORGE, UT 84770-5982
(435) 703-3588
(888) 696-5589

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
10/25/2013
Last updated
10/25/2013
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