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Kallie Kay Madsen
Children's Substance Abuse Rehabilitation Facility in Ephraim, Utah
NPI 1649930801

Kallie Kay Madsen is a Children's Substance Abuse Rehabilitation Facility based in Ephraim, UT and is specialized in Substance Abuse Treatment, Children. Kallie Kay Madsen practices in Ephraim, UT. The NPI Number for Kallie Kay Madsen is 1649930801 and holds a License No. (Utah).

The current practice location address for Kallie Kay Madsen is 66 N 180 W, Ephraim, UT and can be reached out via phone at 435-283-0164.

Location: 66 N 180 W, Ephraim, UT, 84627-2130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649930801
Provider Name
Kallie Kay Madsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
66 N 180 W, Ephraim, UT, 84627-2130
Phone Number
435-283-0164
Fax Number
Provider Enumeration Date
12/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
66 N 180 W
City
Ephraim
State
Utah
Zip
84627-2130
Phone Number
435-283-0164
Fax Number
person
Provider Business Mailing Address Details
Address
66 N 180 W
City
Ephraim
State
Utah
Zip
84627-2130
Phone Number
435-283-0164
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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