| Organization Name: | ABBEY ROAD COUNSELING SERVICES, INC. |
| NPI Number: | 1083701338 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY WAYNE MUNN (DIRECTOR) |
| Mailing Address: | 66 W Harding Ave Ste C4 Cedar City |
| State: | UT US |
| Postal Code: | 847203091 |
| Phone Number: | 4355869521 |
| Fax Number: | 4355864268 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1283483501 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |