Daniel Edmund Banellis is a substance abuse rehabilitation facility in Salt Lake City, UT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. Daniel Edmund Banellis NPI is 1194087015. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
411 GRANT ST
SALT LAKE CITY, UT
ZIP 84116-725
Phone: (801) 359-8862
Fax: (801) 359-8510
The enumeration date for this NPI number is 6/15/2012 and was last updated on 6/15/2012.