Organization
COLD CREEK WELLNESS CENTER
Active
Other names
Cold Creek Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER DALLAS (ADMINISTRATOR)
(801) 593-6777
Entity
Organization
Contact information
Practice address
845 W 200 N, KAYSVILLE, UT 84037-2406
(801) 593-6777
Mailing address
PO BOX 640, KAYSVILLE, UT 84037-0640
(801) 593-6777
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
15305
UT
Other
Enumeration date
06/02/2009
Last updated
12/29/2016
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