Organization
DYBREAK BEHAVIORAL HEALTHCARE
Active
Other names
Daybreak Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STAN FILLMORE LCSW (BUSINESS ADMINISTRATOR)
(801) 451-4843
Entity
Organization
Contact information
Practice address
117 WEST 200 SOUTH, FARMINGTON, UT 84025-1036
(801) 451-4843
(801) 451-2839
Mailing address
PO BOX 1036, 117 WEST 200 SOUTH, FARMINGTON, UT 84025-1036
(801) 451-4843
(801) 451-2839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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