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Bryan Holder
Substance Abuse Rehabilitation Facility in Moroni, Utah
NPI 1336556638

Bryan Holder is a Substance Abuse Rehabilitation Facility based in Moroni, UT. Bryan Holder practices in Moroni, UT. The NPI Number for Bryan Holder is 1336556638 and holds a License No. (Utah).

The current practice location address for Bryan Holder is 21360 N 1460 E, Moroni, UT and can be reached out via phone at 435-445-5200 and via fax at 435-445-5201.

Location: 21360 N 1460 E, Moroni, UT, 84646-0461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336556638
Provider Name
Bryan Holder
Credential
Provider Entity Type
Individual
Gender
Male
Address
21360 N 1460 E, Moroni, UT, 84646-0461
Phone Number
435-445-5200
Fax Number
435-445-5201
Provider Enumeration Date
07/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235458555 05 UT
institution
Provider Business Practice Location Address Details
Address
21360 N 1460 E
City
Moroni
State
Utah
Zip
84646-0461
Phone Number
435-445-5200
Fax Number
435-445-5201
person
Provider Business Mailing Address Details
Address
21360 N 1460 E
City
Moroni
State
Utah
Zip
84646-0461
Phone Number
435-445-5200
Fax Number
435-445-5201
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Utah)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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