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Evan T Kenison
Community/Behavioral Health Agency in Tooele, Utah
NPI 1639312382

Evan T Kenison is a Community/Behavioral Health Agency based in Tooele, UT. Evan T Kenison practices in Tooele, UT. The NPI Number for Evan T Kenison is 1639312382 and holds a License No. 3099283501 (Utah).

The current practice location address for Evan T Kenison is 50 N Main St, Tooele, UT and can be reached out via phone at 435-485-0254 and via fax at 435-843-7438. You can also correspond with Evan T Kenison through the mailing address at PO BOX 751, TOOELE, UT - 84074-0751 (mailing address contact number: 435-850-2547).

Location: 50 N Main St, Tooele, UT, 84074-0751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639312382
Provider Name
Evan T Kenison
Credential
Provider Entity Type
Organization
Address
50 N Main St, Tooele, UT, 84074-0751
Phone Number
435-485-0254
Fax Number
435-843-7438
Provider Enumeration Date
04/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
50 N Main St
City
Tooele
State
Utah
Zip
84074-2139
Phone Number
435-485-0254
Fax Number
435-843-7438
person
Provider Business Mailing Address Details
Address
50 N Main St
City
Tooele
State
Utah
Zip
84074-2139
Phone Number
435-485-0254
Fax Number
435-843-7438
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
3099283501 (Utah)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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