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Bryant Davis
Substance Abuse Rehabilitation Facility in Moroni, Utah
NPI 1932460102

Bryant Davis is a Substance Abuse Rehabilitation Facility based in Moroni, UT. Bryant Davis practices in Moroni, UT. The NPI Number for Bryant Davis is 1932460102 and holds a License No. 272503815 (Utah).

The current practice location address for Bryant Davis is 21360 North 1450 East, Moroni, UT and can be reached out via phone at 435-445-5200.

Location: 21360 North 1450 East, Moroni, UT, 84646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932460102
Provider Name
Bryant Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
21360 North 1450 East, Moroni, UT, 84646
Phone Number
435-445-5200
Fax Number
Provider Enumeration Date
06/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21360 North 1450 East
City
Moroni
State
Utah
Zip
84646
Phone Number
435-445-5200
Fax Number
person
Provider Business Mailing Address Details
Address
21360 North 1450 East
City
Moroni
State
Utah
Zip
84646
Phone Number
435-445-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
272503815 (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.
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