Organization
OUTBACK THERAPEUTIC EXPEDITIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNINE THALMAN (OFFICE MANAGER)
(801) 766-3933
Entity
Organization
Contact information
Practice address
50 N 200 E, LEHI, UT 84043-1812
(801) 766-3933
(801) 766-3932
Mailing address
50 N 200 E, LEHI, UT 84043-1812
(801) 766-3933
(801) 766-3932
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
17992
UT
Other
Enumeration date
09/30/2010
Last updated
01/19/2012
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