Organization
NAT-SU BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL BRENNAN (BILLING DIRECTOR)
(385) 529-8735
Entity
Organization
Contact information
Practice address
491 S MAIN ST, TOOELE, UT 84074-2747
(435) 850-1823
(435) 850-1911
Mailing address
491 S MAIN ST, TOOELE, UT 84074-2747
(435) 850-1823
(435) 850-1911
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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