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Lorraine Michelle Ivey
Children's Substance Abuse Rehabilitation Facility in Washington, Utah
NPI 1952790099

Lorraine Michelle Ivey is a Children's Substance Abuse Rehabilitation Facility based in Washington, UT and is specialized in Substance Abuse Treatment, Children. Lorraine Michelle Ivey practices in Washington, UT. The NPI Number for Lorraine Michelle Ivey is 1952790099 and holds a License No. (Utah).

The current practice location address for Lorraine Michelle Ivey is 115 N 200 E, Washington, UT and can be reached out via phone at 435-669-8981.

Location: 115 N 200 E, Washington, UT, 84780-1642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952790099
Provider Name
Lorraine Michelle Ivey
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 N 200 E, Washington, UT, 84780-1642
Phone Number
435-669-8981
Fax Number
Provider Enumeration Date
01/13/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
901207545-04 01 UT ALTIUS
institution
Provider Business Practice Location Address Details
Address
115 N 200 E
City
Washington
State
Utah
Zip
84780-1642
Phone Number
435-669-8981
Fax Number
person
Provider Business Mailing Address Details
Address
115 N 200 E
City
Washington
State
Utah
Zip
84780-1642
Phone Number
435-669-8981
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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