Provider First Line Business Practice Location Address:
5030 HARRISON BLVD
Provider Second Line Business Practice Location Address:
BEHAVIORAL HEALTH INSTITUTE
Provider Business Practice Location Address City Name:
OGDEN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84403-4311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-387-5600
Provider Business Practice Location Address Fax Number:
801-475-1621
Provider Enumeration Date:
08/06/2007