Organization
OASIS ASCENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT ESPLIN LMFT (EXECUTIVE DIRECTOR)
(801) 491-2270
Entity
Organization
Contact information
Practice address
122 N 600 W, PROVO, UT 84601-2621
(801) 491-2270
Mailing address
757 S MAIN ST, SPRINGVILLE, UT 84663-2452
(801) 491-2270
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/29/2021
Last updated
10/07/2024
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