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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