| Organization Name: | CENTRAL UTAH MENTAL HEALTH SA |
| NPI Number: | 1982702460 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FARREL MARX (CFO) |
| Mailing Address: | 940 N Main St Nephi |
| State: | UT US |
| Postal Code: | 846481004 |
| Phone Number: | 4356231456 |
| Fax Number: | 4356231127 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |