Organization
BUILDING BEGINNINGS RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADALYN KENER (OWNER)
(208) 240-7178
Entity
Organization
Contact information
Practice address
286 S 600 E STE A, PROVO, UT 84606-4780
(208) 240-7178
Mailing address
286 S 600 E STE A, PROVO, UT 84606-4780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8653220-3501
UT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
03/08/2019
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