Organization
HAVEN HOME FOR GIRLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA DALTON (EXEC. DIR.)
(801) 494-7773
Entity
Organization
Contact information
Practice address
846 HIGH COUNTRY DR, OREM, UT 84097-2369
(801) 224-4632
(801) 850-9354
Mailing address
PO BOX 728, SPANISH FORK, UT 84660-0728
(801) 224-4632
(801) 850-9354
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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