Organization
MENDING MINDS VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KADEN CHAD MATTINSON (EXECUTIVE DIRECTOR)
(801) 259-3312
Entity
Organization
Contact information
Practice address
639 SWENSON AVE APT 1, SPRINGVILLE, UT 84663-2560
(801) 259-3312
Mailing address
PO BOX 310, MORGAN, UT 84050-0310
(801) 259-3312
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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