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RITE OF PASSAGE INC NPI 1215473699


NPI Information

NPI: 1215473699
Provider Name: RITE OF PASSAGE, INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
862 S MAIN ST STE 4
BRIGHAM CITY, UT
ZIP 84302
Phone: (775) 392-2657
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RITE OF PASSAGE, INC is a residential treatment facility emotionally disturbed children in Brigham City, UT. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. RITE OF PASSAGE, INC NPI is 1215473699. The provider is registered as an organization entity type.

The provider's business location address is:

862 S MAIN ST STE 4
BRIGHAM CITY, UT
ZIP 84302-389
Phone: (775) 392-2657
Fax: (775) 392-2544

The provider's authorized official is James Broman .
The authorized official title is Ceo and has the following contact phone number (775) 267-9411.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 1/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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