Affinity Guidance Services INC
Community Based Residential Treatment Facility, Mental Illness in Provo, UT. Organization (NPI-2).
NPI number1154772796
StatusActive
Last updated in NPPESOct 27, 2016
Details
- NPI
- 1154772796
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Guidance Services INC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2016
- Last updated
- Oct 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 21366 | UT | Yes |
Practice location
1971 N State StProvo, UT 84604-1012
Phone 435-830-6945 · Fax 435-578-0700
Mailing address
1971 N State StProvo, UT 84604-1012
Phone 435-830-6945 · Fax 435-578-0700
Authorized official
Bradley J Neufeld
President
4358306945
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