Organization
WHITE DOVE DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN BERGMAN (EXECUTIVE DIRECTOR)
(801) 815-8642
Entity
Organization
Contact information
Practice address
1810 E 3100 N, LAYTON, UT 84040-2401
(385) 595-6001
Mailing address
655 FARMLAND DRIVE, KAYSVILLE, UT 84037-5000
(801) 815-8642
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
09/26/2024
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