Graduated: 2020
NPI: 1740837046
Practice Locations (2)
WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
750 N FREEDOM BLVD
PROVO, UT 846011677
8013734760
230 E 400, SUITE 1
SPRINGVILLE, UT 846631972
8014716153
Source: CMS National Downloadable File, September 2026.