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Bonneville Mental Health, Pllc
Substance Use Disorder Rehabilitation Clinic/Center in Tooele, Utah
NPI 1902236458

Bonneville Mental Health, Pllc is a Substance Use Disorder Rehabilitation Clinic/Center based in Tooele, UT and is specialized in Rehabilitation, Substance Use Disorder. Bonneville Mental Health, Pllc practices in Tooele, UT. The NPI Number for Bonneville Mental Health, Pllc is 1902236458 and holds a License No. 2903 (Utah).

The current practice location address for Bonneville Mental Health, Pllc is 134 W 1180 N Ste 4, Tooele, UT and can be reached out via phone at 435-228-4181.

Location: 134 W 1180 N Ste 4, Tooele, UT, 84074-1483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902236458
Provider Name
Bonneville Mental Health, Pllc
Credential
Provider Entity Type
Organization
Address
134 W 1180 N Ste 4, Tooele, UT, 84074-1483
Phone Number
435-228-4181
Fax Number
Provider Enumeration Date
11/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
134 W 1180 N Ste 4
City
Tooele
State
Utah
Zip
84074-1483
Phone Number
435-228-4181
Fax Number
person
Provider Business Mailing Address Details
Address
134 W 1180 N Ste 4
City
Tooele
State
Utah
Zip
84074-1483
Phone Number
435-228-4181
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
2903 (Utah)
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 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
2903 (Utah)
Definition
Definition to come...
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