Organization
COLD CREEK WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER DALLAS (ADMINISTRATOR)
(801) 205-9229
Entity
Organization
Contact information
Practice address
8155 S BRIGHTON LOOP RD, BRIGHTON, UT 84121-9779
(801) 205-9229
(801) 544-0200
Mailing address
PO BOX 640, KAYSVILLE, UT 84037-0640
(801) 205-9229
(801) 544-0200
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
9362
UT
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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