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Organization

MT PLEASANT CAMPUS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN PACE MA ED, MC (EXECUTIVE DIRECTOR)
(435) 673-6111
Entity
Organization

Contact information

Practice address
1170 SOUTH 70 WEST, MT. PLEASANT, UT 84647
(801) 899-4111
Mailing address
747 E SAINT GEORGE BLVD, SAINT GEORGE, UT 84770-3035
(435) 673-6111
(435) 673-0994

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
18409
UT
323P00000X
Psychiatric Residential Treatment Facility
18409
UT
3245S0500X
Children's Substance Abuse Rehabilitation Facility
18409
UT

Other

Enumeration date
04/10/2012
Last updated
06/24/2015
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