TYLER POULSON

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1902163678

Practice Address

21260 NORTH 1450 EAST
Moroni, UT 84646

Phone: (435) 445-5200

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes -

Frequently Asked Questions

NPI 1902163678 is the National Provider Identifier for TYLER POULSON, a Substance Abuse Rehabilitation Facility provider located in Moroni, UT. This NPI was enumerated on April 18, 2012.
TYLER POULSON practices at 21260 NORTH 1450 EAST, Moroni, UT 84646.

Quick Facts

NPI
1902163678
Type
Individual
Enumerated
Apr 18, 2012
Last Updated
Apr 18, 2012

Nearby Providers