SearchUtahSubstance Abuse Rehabilitation Facility

Bryant Davis

NPI 1932460102 · on the registry since 2012 · sole proprietor

Practice

Address
21360 North 1450 East
Moroni, UT 84646
Phone
(435) 445-5200
Organisation at this address
Lighthouse Ranch
Lighthouse Ranch Llc
Blue Hills Residential Treatment
Blue Hills Residential Treatment
Salt Creek Addiction Recovery Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
Substance Abuse Rehabilitation Facility
324500000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah