Organization
AUTISM ASSESSMENT AND THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE DON BRINGHURST LCSW (CHIEF EXECUTIVE OFFICER)
(435) 705-8664
Entity
Organization
Contact information
Practice address
378 E NAGANO DR, SAINT GEORGE, UT 84790-4302
(435) 705-8664
Mailing address
378 E NAGANO DR, SAINT GEORGE, UT 84790-4302
(435) 705-8664
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7089681-3501
UT
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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