location
search-icon
person
Tyler Steven Poulson
Substance Abuse Rehabilitation Facility in Moroni, Utah
NPI 1902163678

Tyler Steven Poulson is a Substance Abuse Rehabilitation Facility based in Moroni, UT. Tyler Steven Poulson practices in Moroni, UT. The NPI Number for Tyler Steven Poulson is 1902163678 and holds a License No. (Utah).

The current practice location address for Tyler Steven Poulson is 21260 North 1450 East, Moroni, UT and can be reached out via phone at 435-445-5200 and via fax at 435-445-5201.

Location: 21260 North 1450 East, Moroni, UT, 84646-0461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902163678
Provider Name
Tyler Steven Poulson
Credential
Provider Entity Type
Individual
Gender
Male
Address
21260 North 1450 East, Moroni, UT, 84646-0461
Phone Number
435-445-5200
Fax Number
435-445-5201
Provider Enumeration Date
04/18/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
272503815 05 UT
institution
Provider Business Practice Location Address Details
Address
21260 North 1450 East
City
Moroni
State
Utah
Zip
84646
Phone Number
435-445-5200
Fax Number
435-445-5201
person
Provider Business Mailing Address Details
Address
21260 North 1450 East
City
Moroni
State
Utah
Zip
84646
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.