Organization
COLD CREEK WELLNESS CENTER
Active
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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