National Provider Identifier Database

CATALYST RESIDENTIAL TREATMENT
Substance Abuse Treatment, Children

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.


Contact Information

CATALYST RESIDENTIAL TREATMENT
970 S 1025 W
BRIGHAM CITY, UT84302-6711
Phone: 435-723-4600
Fax: 435-723-4700
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for CATALYST RESIDENTIAL TREATMENT

NPI Number 1922323203
Legal business name
LBN
CATALYST RESIDENTIAL TREATMENT
Authorized official ADAM POLL - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/30/2010
Last updated 03/30/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 16063

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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