Organization
ASCENT INDIVIDUAL RESIDENTIAL TREATMENT, INC
Active
Organization
ASCENT INDIVIDUAL RESIDENTIAL TREATMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNA MASHELL DIAMOND (OFFICE MANAGER)
(801) 491-3065
Entity
Organization
Contact information
Practice address
330 E 400 S, #2, SPRINGVILLE, UT 84663-2052
(801) 491-3065
(801) 491-8604
Mailing address
330 E 400 S, #2, SPRINGVILLE, UT 84663-2052
(801) 491-3065
(801) 491-8604
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
20873
UT
253J00000X
Foster Care Agency
Primary
20874
UT
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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