CURTIS BLACKHAM

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1235425109

Practice Address

21260 N 1450 E
Moroni, UT 84646

Phone: (435) 445-5200

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes 272503815 (UT)

Frequently Asked Questions

NPI 1235425109 is the National Provider Identifier for CURTIS BLACKHAM, a Substance Abuse Rehabilitation Facility provider located in Moroni, UT. This NPI was enumerated on June 20, 2011.
CURTIS BLACKHAM practices at 21260 N 1450 E, Moroni, UT 84646.

Quick Facts

NPI
1235425109
Type
Individual
Enumerated
Jun 20, 2011
Last Updated
Jun 20, 2011

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