Organization
BLUE MOUNTAIN FAMILY CENTER
Active
Organization
BLUE MOUNTAIN FAMILY CENTER
Active
Other names
Wilderness Quest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GILLIES (BILLING CONSULTANT)
(801) 951-2317
Entity
Organization
Contact information
Practice address
580 NORTH MAIN, MONTICELLO, UT 84535
(435) 587-2801
(801) 296-1715
Mailing address
PO BOX 12, MONTICELLO, UT 84535-0012
(435) 587-2801
(801) 296-1715
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
UT
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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