Organization
CINNAMON HILLS YOUTH CRISIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUFF L WILLIAMS (PRESIDENT)
(435) 674-0984
Entity
Organization
Contact information
Practice address
770 E SAINT GEORGE BLVD, SAINT GEORGE, UT 84770-3034
(435) 674-0984
Mailing address
770 E SAINT GEORGE BLVD, SAINT GEORGE, UT 84770-3034
(435) 674-0984
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
11761
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017985550001
—
PA
05
—
1198441600
—
WY
05
—
788007788153
—
UT
05
—
HS781PI
—
AK
Enumeration date
09/22/2006
Last updated
06/16/2011
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