Organization
CATALYST RESIDENTIAL TREATMENT
Active
Organization
CATALYST RESIDENTIAL TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM MALAN POLL LMFT (CLINICAL DIRECTOR)
(435) 723-4600
Entity
Organization
Contact information
Practice address
970 S 1025 W, BRIGHAM CITY, UT 84302-6711
(435) 723-4600
(435) 723-4700
Mailing address
970 S 1025 W, BRIGHAM CITY, UT 84302-6711
(435) 723-4600
(435) 723-4700
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
16063
UT
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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