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Homerun Crisis Intervention Services Llc
Psychiatric/Mental Health Nurse Practitioner in Nibley, Utah
NPI 1407529720

Homerun Crisis Intervention Services Llc is a Psychiatric/Mental Health Nurse Practitioner based in Hyrum, UT and is specialized in Psychiatric/Mental Health. Homerun Crisis Intervention Services Llc practices in Nibley, UT. The NPI Number for Homerun Crisis Intervention Services Llc is 1407529720 and holds a License No. (Utah).

The current practice location address for Homerun Crisis Intervention Services Llc is 205 Quarter Cir, Nibley, UT and can be reached out via phone at 855-660-7200.

Location: 205 Quarter Cir, Nibley, UT, 84319-0437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407529720
Provider Name
Homerun Crisis Intervention Services Llc
Credential
Provider Entity Type
Organization
Address
205 Quarter Cir, Nibley, UT, 84319-0437
Phone Number
855-660-7200
Fax Number
Provider Enumeration Date
08/02/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
205 Quarter Cir
City
Nibley
State
Utah
Zip
84321-6317
Phone Number
855-660-7200
Fax Number
person
Provider Business Mailing Address Details
Address
205 Quarter Cir
City
Nibley
State
Utah
Zip
84321-6317
Phone Number
855-660-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
163WA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
163WC0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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